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

Melissa Wedesky, PA-C

Individual provider Medical Physician Assistant · NPI 1104369578

Melissa Wedesky, PA-C is a Medical Physician Assistant in Southlake, Texas. Licensed in Texas. Registered with an NPI since 2016.

Licensed in
TX
In the registry since
2016
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1130 N Kimball Ave Ste 100
Southlake, TX 76092-4732
Phone: (817) 865-3564
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA10439 (TX)
Medical Physician Assistant Taxonomy 363AM0700X · Licence PA10439 (TX)

Record details

NPI number1104369578
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedDecember 2, 2016
Last updated in NPPESDecember 22, 2022
Certification dateDecember 22, 2022

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