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Contact Information

MELISSA GERVASE, PHARM.D.
801 7TH AVE
FORT WORTH, TX76104-2733
 Phone: 814-397-6971
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical Pharmacology

208U00000X
Indicates primary specialty

NPI Profile & details for MELISSA GERVASE · (Female)

NPI # 1265395487
Status Active
Credentials PHARM.D. (Doctor of Pharmacy)
Entity Individual
Enumeration date 12/04/2025
Last updated 12/04/2025 - About 6 months ago
Sole proprietor 1 No
Identifiers
  • TX License # 54852
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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