Dr. James Randall Mellard
Periodontist
24200 W Ih 10 Suite 112
San Antonio
, Texas 78257-1145
Dr. James Randall Mellard
Periodontist
24200 W Ih 10 Suite 112
San Antonio
, Texas 78257-1145
(210) 687-1132
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About
Features
Specialties
- Periodontist
Languages spoken
- English
Location
First Address
- Dr. James Randall Mellard
- 24200 W Ih 10 Suite 112
- San Antonio, TX
- Zip : 78257-1145
- Fax : (210) 687-1132
- Phone : (210) 687-1133
Second Address
- Dr. James Randall Mellard
- 24200 W Ih 10 Suite 112
- San Antonio, TX
- Zip : 78257-1145
- Fax : (210) 687-1132
- Phone : (210) 687-1133
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223P0300X | Periodontist | 13919 | TX |
National Provider Identifier
| NPI | 1043357288 |
|---|---|
| Provider Name | Dr. James Randall Mellard |
| First Address | San Antonio, TX 78257-1145 |
| Second Address | San Antonio, TX 78257-1145 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/01/2007 |
| Last Update Date | 14/01/2016 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.