Melody J A Desantiago
CPNP | Pediatrics | Female
Melody J A Desantiago, CPNP is a Killeen, Texas based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Melody J A Desantiago is
4102 S Clear Creek Rd Ste 107, Killeen, Texas - 76549-5954. She can be contacted on phone at
254-526-8300 and fax number 254-526-4828.
Melody J A Desantiago is a sole proprietor of her business.
NPI number (Unique professional ID) for Melody J A Desantiago is
1982624193 which was assigned by NPPES on 20 Jul, 2006 and it was last updated on 21 Jul, 2022.
Melody J A Desantiago license number is
AP113575 for Pediatrics (208000000X) in Texas.
Melody J A Desantiago is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Melody J A Desantiago basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Melody J A Desantiago |
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| Credential : | CPNP |
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| Gender : | Female |
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Business Address:
Melody J A Desantiago address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 4102 S Clear Creek Rd Ste 107
Killeen, TX, 76549-5954
United States |
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| Phone Number : | 254-526-8300 |
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| Fax Number : | 254-526-4828 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1982624193 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 20 Jul, 2006 |
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| Last Updated On : | 21 Jul, 2022 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Melody J A Desantiago are as mentioned. Primary taxonomy code for Melody J A Desantiago, CPNP is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | AP113575 | TX |
Legacy Identifiers:
Other legacy medical identifiers of Melody J A Desantiago such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 367312101 | MEDICAID | TX | |
Other Practice Locations:
| Practice Address | City, State | Phone Number |
|---|
2301 S CLEAR CREEK RD, SUITE 226
KILLEEN, TX, 76549-4143
United States | KILLEEN, TX | 254-526-8300 |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 503 W Vardeman Ave
Killeen, TX, 76541-7962
United States |
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| Phone Number : | 254-501-3793 |
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Business Location:
Patients can refer following map for directions to
Melody J A Desantiago practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.