Provider Demographics
NPI:1225617079
Name:BUCHAN, MELISSA R (NBC-HWC)
Entity Type:Individual
Prefix:MRS
First Name:MELISSA
Middle Name:R
Last Name:BUCHAN
Suffix:
Gender:F
Credentials:NBC-HWC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1923 FOREST GARDEN DR
Mailing Address - Street 2:
Mailing Address - City:KINGWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77345-1632
Mailing Address - Country:US
Mailing Address - Phone:979-229-8529
Mailing Address - Fax:
Practice Address - Street 1:1923 FOREST GARDEN DR
Practice Address - Street 2:
Practice Address - City:KINGWOOD
Practice Address - State:TX
Practice Address - Zip Code:77345-1632
Practice Address - Country:US
Practice Address - Phone:979-229-8529
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-07
Last Update Date:2021-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date: