Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 170100000X | Medical Geneticist | FTL42627 | TX |
NPI | 1740771617 |
---|---|
Provider Name | Mrs. Estrella Lizbeth Mellin Sanchez |
First Address | Harlingen, TX 78550-8736 |
Second Address | Edinburg, TX 78539 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/05/2018 |
Last Update Date | 11/07/2018 |