Mims, Melanie
Mims, Melanie is an sole proprietor health care provider with primary practice located at 100 Hillcrest Medical Blvd , Waco TX 76712-8897. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant, which is considered as her primary health care specialty. Mims, Melanie can be contacted via phone (800) 994-0371.Contact Information
Primary practice address
100 Hillcrest Medical Blvd
Waco TX 76712-8897
Phone: (800) 994-0371
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant | 367H00000X | 456457395 | Texas |
Profile Details
| NPI number | 1467618595 |
|---|---|
| LBN Legal business name | Mims, Melanie |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 29th, 2008 |
| Last updated | Oct 17th, 2025 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1467618595 | NPPES |
| Georgia | Other | SLP006845 | STATE LISENCE |
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