Provider Demographics
NPI:1891822599
Name:VALDEZ, MELISSA RENEE (MD, PHD)
Entity Type:Individual
Prefix:DR
First Name:MELISSA
Middle Name:RENEE
Last Name:VALDEZ
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Gender:F
Credentials:MD, PHD
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Mailing Address - Street 1:205 E UNIVERSITY AVE STE 200
Mailing Address - Street 2:C/O LONE STAR CIRCLE OF CARE
Mailing Address - City:GEORGETOWN
Mailing Address - State:TX
Mailing Address - Zip Code:78626-6821
Mailing Address - Country:US
Mailing Address - Phone:877-800-5722
Mailing Address - Fax:512-257-1763
Practice Address - Street 1:3950 N A W GRIMES BLVD STE N102
Practice Address - Street 2:C/O LONE STAR CIRCLE OF CARE
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78665-3540
Practice Address - Country:US
Practice Address - Phone:877-800-5722
Practice Address - Fax:512-257-1763
Is Sole Proprietor?:No
Enumeration Date:2007-02-28
Last Update Date:2021-02-25
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Provider Licenses
StateLicense IDTaxonomies
TXM77162084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8K0150Medicare PIN