Provider Demographics
NPI:1902849805
Name:MELEAR, JASON MICHAEL (MD)
Entity Type:Individual
Prefix:DR
First Name:JASON
Middle Name:MICHAEL
Last Name:MELEAR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 911230
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75391-1230
Mailing Address - Country:US
Mailing Address - Phone:972-997-8000
Mailing Address - Fax:972-234-0813
Practice Address - Street 1:11111 RESEARCH BLVD
Practice Address - Street 2:SUITE 400
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78759-5249
Practice Address - Country:US
Practice Address - Phone:512-419-9733
Practice Address - Fax:512-349-0406
Is Sole Proprietor?:No
Enumeration Date:2006-06-14
Last Update Date:2009-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK3922207RX0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX830007638OtherRAILROAD MEDICARE NUMBER
TX148364603Medicaid
TX148364602Medicaid
TXP00645997OtherRAILROAD MEDICARE
TX148364601Medicaid
TX8BP229OtherBCBS OF TX
TX8L1768Medicare PIN
TX8548J2Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER
TX148364602Medicaid
TX8L1767Medicare PIN