Provider Demographics
NPI:1992681969
Name:HORNBERGER, MELYNDA ELIZABETH
Entity type:Individual
Prefix:
First Name:MELYNDA
Middle Name:ELIZABETH
Last Name:HORNBERGER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:MELYNDA
Other - Middle Name:
Other - Last Name:ARMSTRONG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:QUIROZ
Mailing Address - Street 1:5088 N 58TH WEST AVE
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74126-4295
Mailing Address - Country:US
Mailing Address - Phone:918-404-3783
Mailing Address - Fax:
Practice Address - Street 1:5088 N 58TH WEST AVE
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74126-4295
Practice Address - Country:US
Practice Address - Phone:918-404-3783
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-14
Last Update Date:2025-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist