Provider Demographics
NPI:1124414909
Name:JUAREZ-BRIGGS, MELIDA AURORA (MD)
Entity Type:Individual
Prefix:
First Name:MELIDA
Middle Name:AURORA
Last Name:JUAREZ-BRIGGS
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 1:23131 TABLEROCK WAY
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78255-1055
Mailing Address - Country:US
Mailing Address - Phone:210-617-5300
Mailing Address - Fax:210-616-8383
Practice Address - Street 1:7400 MERTON MINTER ST OFC 11M
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-4404
Practice Address - Country:US
Practice Address - Phone:210-617-5300
Practice Address - Fax:210-616-8383
Is Sole Proprietor?:No
Enumeration Date:2015-04-08
Last Update Date:2023-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXS0704208M00000X, 207QH0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QH0002XAllopathic & Osteopathic PhysiciansFamily MedicineHospice and Palliative Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX402129701Medicaid
TX402129702OtherCSHCN