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NPI Code Detail

MEDICARE: MARTIN MCELYA DO PA

MEDICARE: MARTIN MCELYA DO PA
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
1213ES0103XFoot & Ankle Surgery Podiatrist
2261QP2300XPrimary Care Clinic/CenterK1555TX
3207Q00000XFamily Medicine Physician

General Provider Information

NPI Number : 1811151954
Entity Type Code : Organization
Provider Name (Legal Business Name) : MARTIN MCELYA DO PA
Provider Business Mailing Address
First Line : 5917 BELT LINE RD
Second Line :
City : DALLAS
State : TX
Zip : 75254-7703
Country : US
Telephone Number : 972-726-6464
Fax Number : 972-726-6444
Provider Business Practice Location Address
First Line : 5917 BELT LINE RD
Second Line :
City : DALLAS
State : TX
Zip : 75254-7703
Country : US
Telephone Number : 972-726-6464
Fax Number : 972-726-6444
Authorized Official
Title or Position : AO
Name : ALYSSA MCELYA
Credential :
Telephone Number : 972-726-6464
Provider Enumeration Date : 07/17/2008
Last Update Date : 02/14/2025

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Directions to “MARTIN MCELYA DO PA ” Practice Location

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