Melissa B Adams, MD
Individual provider Active NPI Pediatrics Physician · Hurst, TX
NPI 1093804288 · NPPES record last updated Jul 9, 2007
Key facts
- NPI
- 1093804288
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- L2074 (TX)
- Practice address
- 731 Martin Rd
Hurst, TX 76054-2703 - Phone
- (817) 514-0346
- Fax
- (817) 514-0885
- NPI assigned
- Oct 12, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L2074 | TX | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatrics East Inc | Pediatrics | Past | Accepting new patients |
| Pediatric Emergency Specialists, PC | Past | Accepting new patients |
Interoperability endpoints
- madams30041@mlh.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | L2074 | TX | Yes |
Addresses
Primary practice location
731 Martin Rd
Hurst, TX 76054-2703
Mailing address
801 7TH Ave
Revenue Management
Fort Worth, TX 76104-2733
Phone (682) 885-4157
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 87065G | Other | TX | BCBSTX IND PIN |
| 9079038 | Other | TX | PHCS PIN |
| 5219723 | Other | TX | AETNA PIN |
| 1224043 | Other | TX | FIRSTHEALTH PIN |
| ADAMH40218 | Other | TX | CCHIP PIN |
| 00U87Z | Other | TX | BCBSTX GRP PIN |
| 1750369203 | Other | GRP NPI NUMBER | |
| 2115311 | Other | TX | UHC PIN |
| 3725513 | Other | TX | CIGNA PIN |
Other providers in Hurst, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.