Melville Medicine, Pllc

NPI #1043873771 in Southlake, Texas

Provider Information

NPI Number: 1043873771
Entity Type: Organization
Organization Name: Melville Medicine, Pllc
Primary Specialty: Family Medicine
Enumeration Date: Apr 18, 2019
Last Updated: Dec 2, 2022

Practice Location

Address: 1545 E SOUTHLAKE BLVD STE 110
City: Southlake
State: Texas
ZIP Code: 76092-6464
Phone: (817) 600-8725

Authorized Official

Name: DR. DANIEL MELVILLE, MD
Title: MEMBER
Phone: (817) 600-8725

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine - Adult Medicine — Adult Medicine	207QA0505X
Family Medicine	207Q00000X	Primary

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