Provider Demographics
NPI:1467664003
Name:CASSELS, MELODY (MD)
Entity Type:Individual
Prefix:DR
First Name:MELODY
Middle Name:
Last Name:CASSELS
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 1:1305 W 34TH ST STE 210
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78705-1922
Mailing Address - Country:US
Mailing Address - Phone:512-454-0406
Mailing Address - Fax:
Practice Address - Street 1:1305 W 34TH ST STE 210
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78705-1922
Practice Address - Country:US
Practice Address - Phone:512-454-0406
Practice Address - Fax:512-454-4380
Is Sole Proprietor?:No
Enumeration Date:2007-05-04
Last Update Date:2017-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ77366207R00000X
TXN0678208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine