MEDICARE: MELANIE THOMAS WHNP

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	363LW0102X	Women's Health Nurse Practitioner	651297	TX

General Provider Information

NPI Number	:	1699932251
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELANIE THOMAS WHNP

Provider Business Mailing Address
First Line	:	PO BOX 1976
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78297-1976
Country	:	US
Telephone Number	:	210-614-7744
Fax Number	:	210-614-2232

Provider Business Practice Location Address
First Line	:	335 E SONTERRA BLVD STE 170
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78258-4068
Country	:	US
Telephone Number	:	210-614-7744
Fax Number	:	210-614-2232

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

Provider Enumeration Date	:	05/21/2008
Last Update Date	:	11/13/2018

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