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NPI Code Detail

MEDICARE: MELVINA LEBLUE

MEDICARE: MELVINA LEBLUE
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
1171M00000XCase Manager/Care Coordinator667552TX
2163WC0400XCase Management Registered Nurse667552TX

General Provider Information

NPI Number : 1619498805
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELVINA LEBLUE
Provider Business Mailing Address
First Line : 10935 VANDERFORD DR
Second Line :
City : HOUSTON
State : TX
Zip : 77099-4764
Country : US
Telephone Number : 832-293-0647
Fax Number :
Provider Business Practice Location Address
First Line : 3845 FM 1960 RD W STE 350
Second Line :
City : HOUSTON
State : TX
Zip : 77068-3567
Country : US
Telephone Number : 800-346-5086
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/28/2017
Last Update Date : 01/09/2025

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Directions to “ MELVINA LEBLUE ” Practice Location

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