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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

CLARK WAYNE MELONSON

Active Sole Proprietor

CLARK WAYNE MELONSON is a Bus healthcare provider located in LIBERTY, Texas. NPI 1972234227 is currently active in the NPPES registry. Verify at CMS.

Bus · LIBERTY, TX

Registration Details

NPI Number
1972234227
Provider Type
Individual
Gender
Male
NPI Issued
Jun 17, 2022 (4.1948275400561 yrs)
Last Updated
Jun 17, 2022
Sole Proprietor
Yes

Practice Information

Address
701 COUNTY ROAD 154
LIBERTY, TX, 775759305
Browse TX providers · Browse ZIP 77575
Phone
2816366979
Primary Specialty
Bus
343900000X

Other Bus Providers in LIBERTY, TX

Name Credential NPI
MRS. TINA LYNN DAVIS 1538394036
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.