Provider Demographics
NPI:1649326620
Name:ADAMS, MELBA KAREN (DDS)
Entity type:Individual
Prefix:DR
First Name:MELBA
Middle Name:KAREN
Last Name:ADAMS
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1213 HERMANN DRIVE
Mailing Address - Street 2:SUITE 265
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77004-7009
Mailing Address - Country:US
Mailing Address - Phone:713-523-0502
Mailing Address - Fax:713-523-4986
Practice Address - Street 1:1213 HERMANN DR
Practice Address - Street 2:SUITE 265
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77004-7018
Practice Address - Country:US
Practice Address - Phone:713-523-0502
Practice Address - Fax:713-523-4986
Is Sole Proprietor?:No
Enumeration Date:2007-01-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX112961223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics
Provider Identifiers
StateIdentifier IDID TypeIssuer
3452OtherAAP NATIONAL ASSN