Blackmon, Melodie Marian

Blackmon, Melodie Marian is an individual health care provider with primary practice located at 1000 S Beckham Ave , Tyler TX 75701-1908. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is her primary health care specialty. Blackmon, Melodie Marian can be contacted via phone (903) 590-5611.

Contact Information

Primary practice address
1000 S Beckham Ave Tyler TX 75701-1908
Phone: (903) 590-5611
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X S5847 Texas
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X S5847 Texas

Profile Details

NPI number 1689162257
LBN Legal business name Blackmon, Melodie Marian
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 28th, 2018
Last updated Jul 12th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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