Tandy Alice Mellard in Austin - Pediatric Critical Care Medicine

Tandy Alice Mellard - NPI 1427138833

Tandy Alice Mellard is a Pediatric Critical Care Medicine in Austin, Texas. Tandy Alice Mellard practices all healthcare services and medical treatments related to Pediatric Critical Care Medicine. The NPI Number for Tandy Alice Mellard is 1427138833. The last update date is 2013-04-08.

Tandy Alice Mellard's current location address is 1301 Barbara Jordan Blvd, Austin, Texas. You can contact this provider via phone number 5126281932 and fax number 5126281801. The mailing address for Tandy Alice Mellard is 1301 Barbara Jordan Blvd, Austin, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Name Tandy Alice Mellard
Address 1301 Barbara Jordan Blvd, Austin, Texas
Phone Number 5126281932
Fax Number 5126281801
Sole Proprietor N
Credentials PNP

NPI Number Detail

NPI Number 1427138833
Provider Enumeration Date 2006-10-17
Last Updated Date 2013-04-08

Provider Mailing Address Detail

Address 1301 Barbara Jordan Blvd
City Austin
State Texas (TX)
Post Code 787233077
Phone Number 5126281932
Fax Number 5126281801

Provider's Primary Taxonomy Detail

Speciality Pediatric Critical Care Medicine
Taxonomy 2080P0203X
Licence No 646493
Definition:
A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surg

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
176872303 TX --

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FAQs about Tandy Alice Mellard

What is the unique 10-digit identification code assigned to Tandy Alice Mellard by the Centers for Medicare & Medicaid Services?

The Tandy Alice Mellard has been issued the NPI (National Provider Identifier) 1427138833, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Tandy Alice Mellard is physically located?

The Tandy Alice Mellard is situated at the following address: 1301 Barbara Jordan Blvd, Austin, TX 787233077.

What is Tandy Alice Mellard's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Tandy Alice Mellard is Pediatric Critical Care Medicine, and the taxonomy code that categorizes this field of expertise is 2080P0203X.

On what date did Tandy Alice Mellard receive its 1427138833 assignment from the Centers for Medicare & Medicaid Services?

The Tandy Alice Mellard was assigned its 1427138833 on 2006-10-17, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding Tandy Alice Mellard, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Tandy Alice Mellard, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2013-04-08.

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