MEDICARE: CHRISTOPHER M MELCHER 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	363A00000X	Physician Assistant	PA07350	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

General Provider Information

NPI Number	:	1164536454
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTOPHER M MELCHER PA

Provider Business Mailing Address
First Line	:	1111 WORTH ST
Second Line	:
City	:	HEMPHILL
State	:	TX
Zip	:	75948-7223
Country	:	US
Telephone Number	:	409-787-1707
Fax Number	:

Provider Business Practice Location Address
First Line	:	1111 WORTH ST
Second Line	:
City	:	HEMPHILL
State	:	TX
Zip	:	75948-7223
Country	:	US
Telephone Number	:	409-787-1707
Fax Number	:

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

Provider Enumeration Date	:	08/17/2006
Last Update Date	:	06/19/2012

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Directions to “ CHRISTOPHER M MELCHER PA” Practice Location

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