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Dr. Melody S. Martin

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NPI Number Detailed Information

Provider Information:

Name: Dr. Melody S. Martin
Gender: F
Provider License Number If Given: 50259

NPI Information:

NPI: 1689677734
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 5/23/2005

Last Update Date: 5/17/2013

Provider Business Mailing Address:

Address: 4720 W WACO DR
Waco, TX 76710
Phone Number: 2547329741
Fax Number: 2547329745

Provider Business Practice Location Address:

Address: 4720 W WACO DR
Waco, TX 76710
Phone Number: 2547329741
Fax Number: 2547329745

Provider Taxonomy:

Primary: 231H00000X
Secondary (if any): 235Z00000X
State: TX

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