Provider Demographics
NPI:1851846646
Name:MELONS AND CUTIES
Entity Type:Organization
Organization Name:MELONS AND CUTIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:
Authorized Official - First Name:CRYSTAL
Authorized Official - Middle Name:E
Authorized Official - Last Name:SNIDER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:940-220-8002
Mailing Address - Street 1:2301 MIDWESTERN PKWY
Mailing Address - Street 2:SUITE 115A
Mailing Address - City:WICHITA FALLS
Mailing Address - State:TX
Mailing Address - Zip Code:76308-2344
Mailing Address - Country:US
Mailing Address - Phone:940-220-8002
Mailing Address - Fax:
Practice Address - Street 1:2301 MIDWESTERN PKWY
Practice Address - Street 2:SUITE 115A
Practice Address - City:WICHITA FALLS
Practice Address - State:TX
Practice Address - Zip Code:76308-2344
Practice Address - Country:US
Practice Address - Phone:940-220-8002
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-22
Last Update Date:2016-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies