Provider Demographics
NPI:1770836280
Name:CHOATE, MELANIE RENAE (PA)
Entity Type:Individual
Prefix:
First Name:MELANIE
Middle Name:RENAE
Last Name:CHOATE
Suffix:
Gender:F
Credentials:PA
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Mailing Address - Street 1:1633 COTTONWOOD ST
Mailing Address - Street 2:
Mailing Address - City:ABILENE
Mailing Address - State:TX
Mailing Address - Zip Code:79601-3033
Mailing Address - Country:US
Mailing Address - Phone:325-672-4372
Mailing Address - Fax:833-464-5248
Practice Address - Street 1:1633 COTTONWOOD ST
Practice Address - Street 2:
Practice Address - City:ABILENE
Practice Address - State:TX
Practice Address - Zip Code:79601-3033
Practice Address - Country:US
Practice Address - Phone:325-672-4372
Practice Address - Fax:833-464-5248
Is Sole Proprietor?:No
Enumeration Date:2012-10-22
Last Update Date:2023-12-12
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXPA363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant