Provider Demographics
NPI:1033764964
Name:CHILCOAT, MELONY ANN (APRN, FNP)
Entity Type:Individual
Prefix:
First Name:MELONY
Middle Name:ANN
Last Name:CHILCOAT
Suffix:
Gender:F
Credentials:APRN, FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4304 OXBOW DR
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75072-9150
Mailing Address - Country:US
Mailing Address - Phone:214-755-7439
Mailing Address - Fax:
Practice Address - Street 1:2740 VIRGINIA PKWY STE 100
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75071-4977
Practice Address - Country:US
Practice Address - Phone:214-414-2880
Practice Address - Fax:214-279-9639
Is Sole Proprietor?:No
Enumeration Date:2019-08-07
Last Update Date:2022-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP142150207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine