Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Justin Melendez

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1073403416

Justin Melendez is a Student in an Organized Health Care Education/Training Program in Tyler, Texas. Licensed in Louisiana. Registered with an NPI since 2025.

Licensed in
LA
In the registry since
2025

Practice location Address checks out

5812 Deauville St
Tyler, TX 75704-2061
Phone: (903) 931-2929
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X (LA)

Record details

NPI number1073403416
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 7, 2025
Last updated in NPPESJuly 7, 2025
Certification dateJuly 7, 2025
Mailing address5812 Deauville St, Tyler, TX 75704-2061

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