Provider Demographics
NPI:1114266103
Name:MELENDEZ, FRANCISCO JAVIER (PHYSICAL THERAPIST)
Entity Type:Individual
Prefix:
First Name:FRANCISCO
Middle Name:JAVIER
Last Name:MELENDEZ
Suffix:
Gender:M
Credentials:PHYSICAL THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2280 TRAWOOD DR
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79935-3020
Mailing Address - Country:US
Mailing Address - Phone:915-595-3535
Mailing Address - Fax:915-595-3922
Practice Address - Street 1:4242 HONDO PASS DR
Practice Address - Street 2:STE, 110
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79904-1205
Practice Address - Country:US
Practice Address - Phone:915-751-0599
Practice Address - Fax:915-751-0559
Is Sole Proprietor?:No
Enumeration Date:2013-02-11
Last Update Date:2014-10-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX1227536225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX333004501Medicaid
TX333004501Medicaid