Natascha Mellis, OD
Optometrist in Buda, TX. Individual provider (NPI-1).
NPI number1982256533
StatusActive
Last updated in NPPESDec 3, 2019
Details
- NPI
- 1982256533
- Entity type
- Individual (NPI-1)
- Name
- Natascha Mellis
- Credential
- OD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 14, 2019
- Last updated
- Dec 3, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | 9782T | TX | Yes |
Practice location
3310 Fm 967 # 108Buda, TX 78610-3487
Phone 512-295-0076
Mailing address
3310b Fm 967Ste A-108
Buda, TX 78610-3436
Phone 512-295-0076
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