Melanie Illich Md Pa in Waco - Psychiatry
Melanie Illich Md Pa - NPI 1699879288
Melanie Illich Md Pa is a Psychiatry in Waco, Texas. Melanie Illich Md Pa practices all healthcare services and medical treatments related to Psychiatry. The NPI Number for Melanie Illich Md Pa is 1699879288. The last update date is 2013-11-26.
Melanie Illich Md Pa's current location address is Po Box 23289, Waco, Texas. You can contact this provider via phone number 2547722006 and fax number 2547722011. The mailing address for Melanie Illich Md Pa is Po Box 23289, Waco, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Melanie Illich Md Pa |
|---|---|
| Address | Po Box 23289, Waco, Texas |
| Phone Number | 2547722006 |
| Fax Number | 2547722011 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Illich B Melanie |
| Credentials | MD |
| Telephone Number | 2547722006 |
NPI Number Detail
| NPI Number | 1699879288 |
|---|---|
| Provider Enumeration Date | 2006-09-12 |
| Last Updated Date | 2013-11-26 |
Provider Mailing Address Detail
| Address | Po Box 23289 |
|---|---|
| City | Waco |
| State | Texas (TX) |
| Post Code | 76702 |
| Phone Number | 2547722006 |
| Fax Number | 2547722011 |
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 |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 113408204 | TX | -- | |
| 157845201 | TX | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Melanie Illich Md Pa by the Centers for Medicare & Medicaid Services?
The Melanie Illich Md Pa has been assigned the NPI (National Provider Identifier) 1699879288 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical location address where Melanie Illich Md Pa's facilities are situated?
The facilities of Melanie Illich Md Pa are physically located at the following address: Po Box 23289, Waco, TX, 76702.
What is Melanie Illich Md Pa's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Melanie Illich Md Pa is Psychiatry, and the corresponding taxonomy classification code for this specialized field is 2084P0800X.
On what date did the Centers for Medicare & Medicaid Services issue the 1699879288 to Melanie Illich Md Pa?
The Melanie Illich Md Pa received its 1699879288 assignment from the Centers for Medicare & Medicaid Services on 2006-09-12.
As of what date was the information regarding Melanie Illich Md Pa, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Melanie Illich Md Pa, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2013-11-26.
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