Provider Demographics
NPI:1538128525
Name:MELTON, CECILIA L (DC)
Entity Type:Individual
Prefix:DR
First Name:CECILIA
Middle Name:L
Last Name:MELTON
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:CECE
Other - Middle Name:
Other - Last Name:MELTON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DC
Mailing Address - Street 1:24868 SHADY OAKS BLVD
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:TX
Mailing Address - Zip Code:77316-3844
Mailing Address - Country:US
Mailing Address - Phone:832-577-8189
Mailing Address - Fax:
Practice Address - Street 1:24868 SHADY OAKS BLVD
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:TX
Practice Address - Zip Code:77316-3844
Practice Address - Country:US
Practice Address - Phone:832-577-8189
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-20
Last Update Date:2022-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10128111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor