Provider Demographics
NPI:1831528199
Name:POND, MELINDA (LM, CPM)
Entity type:Individual
Prefix:
First Name:MELINDA
Middle Name:
Last Name:POND
Suffix:
Gender:F
Credentials:LM, CPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6650 OPENGATE DR
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78413-4805
Mailing Address - Country:US
Mailing Address - Phone:361-563-9123
Mailing Address - Fax:361-336-0257
Practice Address - Street 1:4609 COBBLESTONE LN
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78411-4921
Practice Address - Country:US
Practice Address - Phone:361-563-9123
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-07
Last Update Date:2018-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175M00000XOther Service ProvidersMidwife, Lay