Provider Demographics
NPI:1083435812
Name:MCCONNELL, MELISSA ANN (PATIENT NAVIGATOR)
Entity type:Individual
Prefix:
First Name:MELISSA
Middle Name:ANN
Last Name:MCCONNELL
Suffix:
Gender:F
Credentials:PATIENT NAVIGATOR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:601 E SAN ANTONIO ST STE 101W
Mailing Address - Street 2:
Mailing Address - City:VICTORIA
Mailing Address - State:TX
Mailing Address - Zip Code:77901-6004
Mailing Address - Country:US
Mailing Address - Phone:361-571-9753
Mailing Address - Fax:361-485-9609
Practice Address - Street 1:601 E SAN ANTONIO ST STE 101W
Practice Address - Street 2:
Practice Address - City:VICTORIA
Practice Address - State:TX
Practice Address - Zip Code:77901-6004
Practice Address - Country:US
Practice Address - Phone:361-571-9753
Practice Address - Fax:361-485-9609
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-23
Last Update Date:2024-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QX0200XAmbulatory Health Care FacilitiesClinic/CenterOncology