Melanie B Illich, MD
Melanie B Illich, MD is a Psychiatry Physician in Waco, Texas. Practices as a sole proprietor. Licensed in Texas.
- Licensed in
- TX
- In the registry since
- 2007
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
5010 Lakeland Cir Ste BWaco, TX 76710-2981
Phone: (254) 776-3486
Fax: (254) 776-8466
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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 | 1982893665 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | MD |
| Sole proprietor | Yes |
| NPI enumerated | October 18, 2007 |
| Last updated in NPPES | January 3, 2021 |
| Certification date | January 3, 2021 |
| Mailing address | 5010 Lakeland Circle, Suite B, Waco, TX 76710-2981 |
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