Provider Demographics
NPI:1841465275
Name:HALL-BOYD, MELODY DENISE
Entity type:Individual
Prefix:MRS
First Name:MELODY
Middle Name:DENISE
Last Name:HALL-BOYD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12030 GALVA DR
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75243-3702
Mailing Address - Country:US
Mailing Address - Phone:469-330-6643
Mailing Address - Fax:469-330-6643
Practice Address - Street 1:12030 GALVA DR
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75243-3702
Practice Address - Country:US
Practice Address - Phone:469-330-6643
Practice Address - Fax:469-330-6643
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-27
Last Update Date:2008-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies