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General NPI Number Information
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NPI Number | 1013842103
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Entity Type | Organization
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Legal Business Name | MELISSA FAMILY MEDICINE PLLC
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Dates
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Enumeration Date | 06/17/2026
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Last Update Date | 06/17/2026
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Provider Practice Location Address
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Address Line | 3100 SAM RAYBURN HWY
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City | MELISSA
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State | TX
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Zip | 75454-2663
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Country | US
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Telephone | 469-215-2377
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Fax | 469-215-2366
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Provider Business Mailing Address
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Address Line | 3100 SAM RAYBURN HWY
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City | MELISSA
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State | TX
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Zip | 75454-2663
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Country | US
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Telephone | 469-215-2377
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Fax | 469-215-2366
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Authorized Official
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Title or Position | OWNER
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Name | CASEY ROSS
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Credential | FNP
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Telephone | 214-205-4995
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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