MAXWELL FRANKLIN MELLO PHYSICIAN ASSISTANT NPI 1710413349

NPI Information

NPI: 1710413349
Provider Name: MAXWELL FRANKLIN MELLO, PHYSICIAN ASSISTANT
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Organization: ST DAVIDS HEART AND VASCULAR PLLC

PECOS Registration: Yes

Address:
3000 N IH 35 STE 700
AUSTIN, TX
ZIP 78705
Phone: (512) 807-3150
Get Directions

Maxwell Franklin Mello, PHYSICIAN ASSISTANT is a medical physician assistant in Austin, TX with 8 years of experience. Maxwell Franklin Mello, PHYSICIAN ASSISTANT NPI is 1710413349. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3000 N IH 35 STE 700
AUSTIN, TX
ZIP 78705-852
Phone: (512) 807-3150
Fax: (512) 458-7879

The NPI 1710413349 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/2/2017 and was last updated on 1/25/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	PA11286	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	3729931-01	MEDICAID	TEXAS
2	577715YRMQ	OTHER	TEXAS	MEDICARE PROVIDER NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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