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NPI Code Detail

MEDICARE: MS. MELISSA N SIRLEAF PA-C

MEDICARE: MS. MELISSA N SIRLEAF PA-C
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
1363AM0700XMedical Physician AssistantPA16241TX
2363AM0700XMedical Physician AssistantPA9104354FL

General Provider Information

NPI Number : 1396070850
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MELISSA N SIRLEAF PA-C
Provider Business Mailing Address
First Line : 825 E RUNDBERG LN STE B1
Second Line :
City : AUSTIN
State : TX
Zip : 78753-4860
Country : US
Telephone Number : 954-253-9611
Fax Number :
Provider Business Practice Location Address
First Line : 825 E RUNDBERG LN STE B1
Second Line :
City : AUSTIN
State : TX
Zip : 78753-4860
Country : US
Telephone Number : 954-253-9611
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/15/2009
Last Update Date : 07/10/2023

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Directions to “ MS. MELISSA N SIRLEAF PA-C” Practice Location

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