Provider Demographics
NPI:1942398961
Name:MELISSA JR. URREA, MD, PA
Entity Type:Organization
Organization Name:MELISSA JR. URREA, MD, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:JEANINE
Authorized Official - Last Name:URREA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:512-258-1645
Mailing Address - Street 1:201 S BELL BLVD
Mailing Address - Street 2:SUITE 104
Mailing Address - City:CEDAR PARK
Mailing Address - State:TX
Mailing Address - Zip Code:78613-2943
Mailing Address - Country:US
Mailing Address - Phone:512-258-1645
Mailing Address - Fax:512-258-2586
Practice Address - Street 1:201 S BELL BLVD
Practice Address - Street 2:SUITE 104
Practice Address - City:CEDAR PARK
Practice Address - State:TX
Practice Address - Zip Code:78613-2943
Practice Address - Country:US
Practice Address - Phone:512-258-1645
Practice Address - Fax:512-258-2586
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL1075207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty