Perry, Melvin G

Perry, Melvin G is an individual health care provider with primary practice located at 520 Madison Oak Dr , San Antonio TX 78258-3913. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine is his primary health care specialty. Perry, Melvin G can be contacted via phone (210) 558-6288.

Contact Information

Primary practice address
520 Madison Oak Dr San Antonio TX 78258-3913
Phone: (210) 558-6288
Fax: (210) 558-6289
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X 49276-020 Wisconsin
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X M9577 Texas
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 022738 Louisiana
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X O4-30600 Kansas
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X 046470 Georgia
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X 022738 Louisiana
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X 2004025527 Missouri
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X 40058 Tennessee
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X 435456 Pennsylvania
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X 35.083485 Ohio
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X 01057110A Indiana

Profile Details

NPI number 1639110638
LBN Legal business name Perry, Melvin G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2006
Last updated Jun 8th, 2015 - about 11 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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Identifiers

StateTypeNumberIssuer
All States NPI 1639110638 NPPES
Louisiana MEDICAID 1492574

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