Provider Demographics
NPI:1447443601
Name:AWAR, MELINA (MD)
Entity type:Individual
Prefix:DR
First Name:MELINA
Middle Name:
Last Name:AWAR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6550 FANNIN ST STE 1001
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-2740
Mailing Address - Country:US
Mailing Address - Phone:713-441-6722
Mailing Address - Fax:713-793-7064
Practice Address - Street 1:6550 FANNIN ST STE 1001
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-2740
Practice Address - Country:US
Practice Address - Phone:713-441-6722
Practice Address - Fax:713-793-7064
Is Sole Proprietor?:No
Enumeration Date:2007-08-21
Last Update Date:2016-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
CAA106979207R00000X
TXN9988207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXP01030482OtherRR MEDICARE
TX1447443601OtherBLUE CROSS BLUE SHIELD
TX286992701Medicaid
TXTXB139187Medicare PIN
TX332835YMVQMedicare PIN