Basic Information
| Provider Information | |||||||||
| NPI: | 1306380456 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ALINO | ||||||||
| FirstName: | MELODY | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3638 SKYLINE DR | ||||||||
| Address2: | |||||||||
| City: | MANVEL | ||||||||
| State: | TX | ||||||||
| PostalCode: | 775783241 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2816864743 | ||||||||
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| Practice Location | |||||||||
| Address1: | 6720 BERTNER AVE | ||||||||
| Address2: | SUITE 0520 | ||||||||
| City: | HOUSTON | ||||||||
| State: | TX | ||||||||
| PostalCode: | 770302604 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8323552666 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 12/08/2016 | ||||||||
| LastUpdateDate: | 12/08/2016 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LA2100X | AP132737 | TX | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Acute Care |
No ID Information.