MEDICARE: MELISSA A CROSBY M.D.

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	208200000X	Plastic Surgery Physician	M1612	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	:	1386744688
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELISSA A CROSBY M.D.

Provider Business Mailing Address
First Line	:	16605 SOUTHWEST FWY
Second Line	:	SUITE 300
City	:	SUGAR LAND
State	:	TX
Zip	:	77479-3501
Country	:	US
Telephone Number	:	832-939-8500
Fax Number	:	832-939-9909

Provider Business Practice Location Address
First Line	:	16605 SOUTHWEST FWY
Second Line	:	SUITE 300
City	:	SUGAR LAND
State	:	TX
Zip	:	77479-3501
Country	:	US
Telephone Number	:	832-939-8500
Fax Number	:	832-939-9909

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

Provider Enumeration Date	:	09/25/2006
Last Update Date	:	03/04/2021

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Directions to “ MELISSA A CROSBY M.D.” Practice Location

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