Provider Demographics
NPI:1669810032
Name:MELVILLE, SHARON KAY (MD)
Entity type:Individual
Prefix:DR
First Name:SHARON
Middle Name:KAY
Last Name:MELVILLE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2408 S 37TH ST
Mailing Address - Street 2:
Mailing Address - City:TEMPLE
Mailing Address - State:TX
Mailing Address - Zip Code:76504-7168
Mailing Address - Country:US
Mailing Address - Phone:254-771-6717
Mailing Address - Fax:254-778-4066
Practice Address - Street 1:2408 S 37TH ST
Practice Address - Street 2:
Practice Address - City:TEMPLE
Practice Address - State:TX
Practice Address - Zip Code:76504-7168
Practice Address - Country:US
Practice Address - Phone:254-771-6717
Practice Address - Fax:254-778-4066
Is Sole Proprietor?:No
Enumeration Date:2013-06-07
Last Update Date:2013-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH01812083P0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive Medicine