Provider Demographics
NPI:1477230100
Name:MELTON PSYCHIATRY PLLC
Entity Type:Organization
Organization Name:MELTON PSYCHIATRY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:BENGI
Authorized Official - Middle Name:BIBER
Authorized Official - Last Name:MELTON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:832-334-1250
Mailing Address - Street 1:11301 FALLBROOK DR STE 214
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77065-4270
Mailing Address - Country:US
Mailing Address - Phone:346-564-2730
Mailing Address - Fax:
Practice Address - Street 1:11301 FALLBROOK DR STE 214
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77065-4270
Practice Address - Country:US
Practice Address - Phone:346-564-2730
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-04
Last Update Date:2023-07-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty