Individual provider · NPI-1

Dr. Melissa E Cloonan, MD

Surgery, Trauma Surgery · Tyler, TX

NPI number1871735852
StatusActive
Last updated in NPPESMay 6, 2016

Details

NPI
1871735852
Entity type
Individual (NPI-1)
Name
Dr. Melissa E Cloonan
Credential
MD
Sex
Female
Sole proprietor
No
Enumeration date
Apr 6, 2009
Last updated
May 6, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2086S0127X Surgery, Trauma SurgeryP9824TXYes

Practice location

910 E Houston St
Ste. 530
Tyler, TX 75702-8369

Phone 903-531-5560 · Fax 903-531-5566

Mailing address

Po Box 846098
Dallas, TX 75284-6098

Phone 903-324-6400

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