Melanie Illich MD PA
Melanie Illich MD PA is a Psychiatry Physician in Waco, Texas. Licensed in Texas. Registered with an NPI since 2006.
- Licensed in
- TX
- In the registry since
- 2006
What do these letters mean?
- PA — Professional association
- A form of business registration, not a clinical qualification.
Practice location Address checks out
213A Old Hewitt RdWaco, TX 76712
Phone: (254) 772-2006
Fax: (254) 772-2011
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Psychiatry Physician (primary) | Taxonomy 2084P0800X · Licence J2104 (TX) |
|---|
Record details
| NPI number | 1699879288 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Melanie Illich — President · (254) 772-2006 |
| Other names | Melanie Illich Md Pa |
| NPI enumerated | September 12, 2006 |
| Last updated in NPPES | November 26, 2013 |
| Mailing address | Po Box 23289, Waco, TX 76702 |
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