Healthcare Provider Details

I. General information

NPI: 1144563669
Provider Name (Legal Business Name): ESTHER MELAMED MD PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/03/2013
Last Update Date: 03/17/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1601 TRINITY ST
AUSTIN TX
78712-1765
US

IV. Provider business mailing address

1601 TRINITY ST STOP Z0200
AUSTIN TX
78712-1850
US

V. Phone/Fax

Practice location:
  • Phone: 512-495-5000
  • Fax:
Mailing address:
  • Phone: 512-495-5000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License NumberA118455
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License NumberQ7746
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: