Provider Demographics
NPI:1801816202
Name:HAU, MELISSA LAI TAN (OD)
Entity Type:Individual
Prefix:DR
First Name:MELISSA
Middle Name:LAI TAN
Last Name:HAU
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:825 MONIQUE
Mailing Address - Street 2:
Mailing Address - City:CEDAR HILL
Mailing Address - State:TX
Mailing Address - Zip Code:75104-1715
Mailing Address - Country:US
Mailing Address - Phone:972-299-9988
Mailing Address - Fax:972-299-9827
Practice Address - Street 1:398 E FM 1382
Practice Address - Street 2:SUITE A
Practice Address - City:CEDAR HILL
Practice Address - State:TX
Practice Address - Zip Code:75104-6024
Practice Address - Country:US
Practice Address - Phone:972-299-9988
Practice Address - Fax:972-299-9827
Is Sole Proprietor?:No
Enumeration Date:2006-07-20
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX6044TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXMH1085667OtherDEA NUMBER