Provider Demographics
NPI:1003805292
Name:CHRISTINA, MELANIE OWEN (MD)
Entity Type:Individual
Prefix:DR
First Name:MELANIE
Middle Name:OWEN
Last Name:CHRISTINA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8335 WALNUT HILL LN STE 215
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75231-4268
Mailing Address - Country:US
Mailing Address - Phone:214-758-7480
Mailing Address - Fax:214-758-7481
Practice Address - Street 1:8335 WALNUT HILL LN STE 215
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75231-4268
Practice Address - Country:US
Practice Address - Phone:214-758-7480
Practice Address - Fax:214-758-7481
Is Sole Proprietor?:No
Enumeration Date:2005-10-19
Last Update Date:2021-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ3766207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXF58694Medicare UPIN
TX00269FMedicare ID - Type Unspecified