Provider Demographics
NPI:1134600810
Name:SAYLES, MELISSA (LVN)
Entity type:Individual
Prefix:
First Name:MELISSA
Middle Name:
Last Name:SAYLES
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8610 N NEW BRAUNFELS AVE STE 405
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78217-6358
Mailing Address - Country:US
Mailing Address - Phone:210-804-0193
Mailing Address - Fax:
Practice Address - Street 1:3311 ALAN SHEPARD DR
Practice Address - Street 2:
Practice Address - City:KIRBY
Practice Address - State:TX
Practice Address - Zip Code:78219-1267
Practice Address - Country:US
Practice Address - Phone:210-837-7723
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-22
Last Update Date:2018-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX343223164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse