MEDICARE: MS. MELANIE PALASI CRNA

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	367500000X	Certified Registered Nurse Anesthetist	AP106505	TX
2	367500000X	Certified Registered Nurse Anesthetist	568322	TX
3	163W00000X	Registered Nurse	568322	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	8632UB	OTHER	TX	BLUE CROSS BLUE SHIELD

General Provider Information

NPI Number	:	1114985306
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. MELANIE PALASI CRNA

Provider Business Mailing Address
First Line	:	1504 TAUB LOOP FL 4
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77030-1608
Country	:	US
Telephone Number	:	713-873-2860
Fax Number	:

Provider Business Practice Location Address
First Line	:	1504 TAUB LOOP
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77030-1608
Country	:	US
Telephone Number	:	713-873-2860
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/04/2006
Last Update Date	:	03/23/2026

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