Provider Demographics
NPI:1467024026
Name:QUOILIN, MELANIE MADELEINE J (MD)
Entity Type:Individual
Prefix:MRS
First Name:MELANIE
Middle Name:MADELEINE J
Last Name:QUOILIN
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:3819 BUFFALO SPEEDWAY APT 1308
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77098-3716
Mailing Address - Country:US
Mailing Address - Phone:281-745-1517
Mailing Address - Fax:
Practice Address - Street 1:1133 JOHN FREEMAN BLVD # 285A
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-2809
Practice Address - Country:US
Practice Address - Phone:281-745-1517
Practice Address - Fax:713-486-0966
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-13
Last Update Date:2021-07-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXBP10074788207R00000X, 208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine