Melissa A Maciborski, MD
Pediatrics in Hutto, TX. Individual provider (NPI-1).
NPI number1982808556
StatusActive
Last updated in NPPESJan 7, 2011
Details
- NPI
- 1982808556
- Entity type
- Individual (NPI-1)
- Name
- Melissa A Maciborski
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 14, 2007
- Last updated
- Jan 7, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | N0237 | TX | Yes |
| 208000000X | Pediatrics | BP1-0023816 | TX |
Practice location
151 Exchange Blvd#500
Hutto, TX 78634-5381
Phone 512-846-1244 · Fax 512-846-1963
Mailing address
Po Box 26726Austin, TX 78755-0726
Phone 512-407-8686 · Fax 512-421-4489
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