Healthcare Provider Details

I. General information

NPI: 1265343958
Provider Name (Legal Business Name): MELANIE ANNE MAINE TIMBS PHARMD, PHD
Entity Type: Individual
Gender:
Sole Proprietor: N

Provider Other Name: MELANIE ANNE MAINE PHD

II. Dates (important events)

Enumeration Date: 09/14/2026
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5330 OVERPASS RD
BUDA TX
78610-2300
US

IV. Provider business mailing address

5330 OVERPASS RD
BUDA TX
78610-2300
US

V. Phone/Fax

Practice location:
  • Phone: 737-999-6200
  • Fax:
Mailing address:
  • Phone: 737-999-6200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number59492
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: