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NPI Code Detail

MEDICARE: MELINDA DAWN CONROY D.O.

MEDICARE:   MELINDA DAWN CONROY  D.O.
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
1207N00000XDermatology PhysicianN6231TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
18CK978OTHERTXBCBS IND. NUMBER
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1760650428
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELINDA DAWN CONROY D.O.
Provider Business Mailing Address
First Line : 401 RANCH ROAD 620 S STE 200
Second Line :
City : LAKEWAY
State : TX
Zip : 78734-5304
Country : US
Telephone Number : 512-610-0549
Fax Number : 512-666-3744
Provider Business Practice Location Address
First Line : 401 RANCH ROAD 620 S STE 200
Second Line :
City : LAKEWAY
State : TX
Zip : 78734-5304
Country : US
Telephone Number : 512-610-0549
Fax Number : 512-540-8853
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/15/2008
Last Update Date : 02/05/2019

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Directions to “ MELINDA DAWN CONROY D.O.” Practice Location

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