Provider Demographics
NPI:1497786602
Name:REED, MELANIE LANE (MD)
Entity Type:Individual
Prefix:DR
First Name:MELANIE
Middle Name:LANE
Last Name:REED
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:3600 GASTON AVE
Mailing Address - Street 2:BARNETT TOWER, SUITE 1109
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75246-1800
Mailing Address - Country:US
Mailing Address - Phone:214-820-8300
Mailing Address - Fax:214-820-8313
Practice Address - Street 1:3600 GASTON AVE
Practice Address - Street 2:BARNETT TOWER, SUITE 1109
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75246-1800
Practice Address - Country:US
Practice Address - Phone:214-820-8300
Practice Address - Fax:214-820-8313
Is Sole Proprietor?:No
Enumeration Date:2006-07-05
Last Update Date:2023-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL8488207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX167030301Medicaid
TN8K0334OtherBCBS
I05699Medicare UPIN
TX8B7898Medicare ID - Type Unspecified