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NPI Lookup from the NPI Registry — National Provider Identifier Database

Contact Information

MELISSA C MIZESKO, MD
3533 S. ALAMEDA
CORPUS CHRISTI, TX78411
 Phone: 361-694-4864
 Fax: 361-851-6867
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Rheumatology

2080P0216X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for MELISSA C MIZESKO · (Female)

NPI Number 1003026139
Status Active
Credentials MD
Entity Individual
Enumeration date 05/24/2007
Last updated 12/17/2015 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • TX License # P7814
  • TX Medicaid 3276750-03
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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