Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207YP0228X | Pediatric Otolaryngology | OS8500 | FL |
Y | 207YP0228X | Pediatric Otolaryngology | P2024 | TX |
NPI | 1992810972 |
---|---|
Provider Name | Dr. Melissa G. Kress |
First Address | Dallas, TX 75284-4658 |
Second Address | Temple, TX 76508-0001 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/08/2006 |
Last Update Date | 18/07/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000921115A | (05) | GA |
262508300 | (05) | FL |
H64313 | (02) |