Melanie B Illich is a Psychiatry in Waco, Texas. Melanie B Illich practices all healthcare services and medical treatments related to Psychiatry. The NPI Number for Melanie B Illich is 1982893665. The last update date is 2021-01-03.
Melanie B Illich's current location address is 5010 Lakeland Circle, Waco, Texas. You can contact this provider via phone number 2547763486 and fax number 2547768466. The mailing address for Melanie B Illich is 5010 Lakeland Circle, Waco, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Melanie B Illich |
|---|---|
| Address | 5010 Lakeland Circle, Waco, Texas |
| Phone Number | 2547763486 |
| Fax Number | 2547768466 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1982893665 |
|---|---|
| Provider Enumeration Date | 2007-10-18 |
| Last Updated Date | 2021-01-03 |
Provider Mailing Address Detail
| Address | 5010 Lakeland Circle |
|---|---|
| City | Waco |
| State | Texas (TX) |
| Post Code | 767102981 |
| Phone Number | 2547763486 |
| Fax Number | 2547768466 |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatry |
|---|---|
| Taxonomy | 2084P0800X |
| Licence No | J2104 |
|
Definition: A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| G08042 | TX | UPIN | |
| 113408204 | TX | -- | |
| 00291G | TX | BCBS |
Post Comment/ Review Below
What is the unique identification code assigned to Melanie B Illich by the Centers for Medicare & Medicaid Services?
The Melanie B Illich has been issued the NPI (National Provider Identifier) 1982893665. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Melanie B Illich is physically located?
The Melanie B Illich is physically situated at the following address: 5010 Lakeland Circle, Waco, TX, 767102981.
What is Melanie B Illich's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Melanie B Illich is Psychiatry, and the taxonomy classification code that categorizes this area of expertise is 2084P0800X.
When was the Melanie B Illich's 1982893665 issued?
The Melanie B Illich's 1982893665 was issued on 2007-10-18.
As of what date was the information regarding Melanie B Illich, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Melanie B Illich, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2021-01-03.
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