| Melrose Clinic, Pllc | |
|
331 Melrose Dr Suite 220 Richardson TX 75080-4405 | |
| (469) 828-1903 | |
| Not Available |
| Full Name | Melrose Clinic, Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 331 Melrose Dr, Richardson, Texas |
| Authorized Official Name and Position | Henry Allen (PARTNER) |
| Authorized Official Contact | 4698281903 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Melrose Clinic, Pllc 331 Melrose Dr Suite 220 Richardson TX 75080-4405 Ph: (469) 828-1903 | Melrose Clinic, Pllc 331 Melrose Dr Suite 220 Richardson TX 75080-4405 Ph: (469) 828-1903 |
| NPI Number | 1457897621 |
|---|---|
| Provider Enumeration Date | 01/12/2017 |
| Last Update Date | 02/09/2017 |
| Medicare PECOS PAC ID | 4284910092 |
|---|---|
| Medicare Enrollment ID | O20170410002539 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457897621 | NPI | - | NPPES |
| Provider Name | Kevin Y Kim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669480828 PECOS PAC ID: 7810887106 Enrollment ID: I20070110000597 |
| Provider Name | Henry Allen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710900527 PECOS PAC ID: 4183514474 Enrollment ID: I20070110000602 |
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