Provider Demographics
NPI:1114365673
Name:M. MELINDA UHRICH MD. PA.
Entity Type:Organization
Organization Name:M. MELINDA UHRICH MD. PA.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:M
Authorized Official - Middle Name:MELINDA
Authorized Official - Last Name:UHRICH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:214-681-3537
Mailing Address - Street 1:330 LAS COLINAS BLVD E
Mailing Address - Street 2:APT 1002
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75039-5510
Mailing Address - Country:US
Mailing Address - Phone:214-681-3537
Mailing Address - Fax:
Practice Address - Street 1:330 LAS COLINAS BLVD E
Practice Address - Street 2:APT 1002
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75039-5510
Practice Address - Country:US
Practice Address - Phone:214-681-3537
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-06
Last Update Date:2013-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG9545208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty