MELISSA K. CROCHET, MD, PA
Medical Practice at Washington Ave, Dallas, TX

License number
Texas K4400
Category
Medical Practice
Type
Specialist
Owner
Name: DR. MELLISA KAY CROCHET MD
Title: OWNER
Phone: (214) 823-7900
Address
Address
411 N Washington Ave SUITE 2700, Dallas, TX 75246
National Provider ID: 1740291103
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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MELISSA K. CROCHET, M.D., PA

411 N Washington Ave STE 2700, Dallas, TX 75246

Registration:
Sep 12, 2003
State ID:
0800245998
Agent:
Melissa K Crochet,411 N Washington SUITE 2700, Dallas, TX 75246 (Physical)
TIN:
32035723090

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