Provider Demographics
NPI:1417074022
Name:ZARAGOZA, MELODY GAIL (AUD)
Entity Type:Individual
Prefix:DR
First Name:MELODY
Middle Name:GAIL
Last Name:ZARAGOZA
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7777 FOREST LN STE A107
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75230-6872
Mailing Address - Country:US
Mailing Address - Phone:972-566-7425
Mailing Address - Fax:972-566-3883
Practice Address - Street 1:7777 FOREST LN STE A107
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75230-6872
Practice Address - Country:US
Practice Address - Phone:972-566-7425
Practice Address - Fax:972-566-3883
Is Sole Proprietor?:No
Enumeration Date:2007-03-26
Last Update Date:2008-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX60536231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist