Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | Q4448 | TX |
NPI | 1073824983 |
---|---|
Provider Name | Dr. Melanie Ruyle Lerew |
First Address | Wichita Falls, TX 76310-1123 |
Second Address | Wichita Falls, TX 76310-1123 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/06/2010 |
Last Update Date | 17/08/2015 |