Provider Demographics
NPI:1316248503
Name:MELEK, JOHN (MD, MSC)
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:
Last Name:MELEK
Suffix:
Gender:M
Credentials:MD, MSC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7777 FOREST LN
Mailing Address - Street 2:STE A315
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75230-2579
Mailing Address - Country:US
Mailing Address - Phone:972-566-4888
Mailing Address - Fax:972-534-1308
Practice Address - Street 1:7777 FOREST LN
Practice Address - Street 2:STE A315
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75230-2579
Practice Address - Country:US
Practice Address - Phone:214-217-1900
Practice Address - Fax:214-217-1912
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-04
Last Update Date:2024-12-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXP6221207N00000X, 208VP0000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207N00000XAllopathic & Osteopathic PhysiciansDermatology
No208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain MedicineGroup - Multi-Specialty