MEDICARE: MELVIN HU MD PHD PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208VP0014X	Interventional Pain Medicine Physician	L9253	TX

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	00X087	OTHER	TX	MEDICARE GROUP ID

General Provider Information

NPI Number	:	1073616223
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MELVIN HU MD PHD PA

Provider Business Mailing Address
First Line	:	PO BOX 5405
Second Line	:
City	:	FRISCO
State	:	TX
Zip	:	75035-2013
Country	:	US
Telephone Number	:	214-619-5380
Fax Number	:	888-419-5913

Provider Business Practice Location Address
First Line	:	9191 KYSER WAY
Second Line	:	SUITES 603 & 604
City	:	FRISCO
State	:	TX
Zip	:	75033-1953
Country	:	US
Telephone Number	:	214-619-5380
Fax Number	:	214-619-5388

Authorized Official
Title or Position	:	OWNER
Name	:	MELVIN MEI HU
Credential	:	MD
Telephone Number	:	214-619-5380

Provider Enumeration Date	:	09/06/2006
Last Update Date	:	02/21/2019

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