Provider Demographics
NPI:1871739805
Name:SCHRINK, MELANIE ANN (PA-C)
Entity type:Individual
Prefix:
First Name:MELANIE
Middle Name:ANN
Last Name:SCHRINK
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:LANIE
Other - Middle Name:A
Other - Last Name:SCHRINK
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PA-C
Mailing Address - Street 1:2120 N MACARTHUR BLVD STE 100
Mailing Address - Street 2:
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75061-2260
Mailing Address - Country:US
Mailing Address - Phone:972-438-4636
Mailing Address - Fax:
Practice Address - Street 1:2120 N MACARTHUR BLVD STE 100
Practice Address - Street 2:
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75061-2260
Practice Address - Country:US
Practice Address - Phone:972-438-4636
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-22
Last Update Date:2016-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXPA06170363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical