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JUSTIN MELENDEZ
NPI 1073403416
Student in an Organized Health Care Education/Training Program in Tyler, TX

Active since July 07, 2025
5812 DEAUVILLE ST, TYLER, TX 75704(903) 931-2929 Get Directions Write a Review

NPPES record last updated: July 7, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Justin Melendez NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JUSTIN MELENDEZ (NPI 1073403416) is an individual student in an organized health care education/training program in Tyler, Texas and active in the NPI registry since July 2025.

NPPES Registry Identity

NPI1073403416
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJUSTIN MELENDEZ
Location Address5812 DEAUVILLE STTyler, TX 75704-2061
Mailing Address5812 Deauville StTyler, TX 75704-2061 · (903) 931-2929
Phone(903) 931-2929
Sole ProprietorNo
Enumeration DateJuly 7, 2025
NPPES CertifiedJuly 7, 2025
✔ NPI 1073403416 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
5812 DEAUVILLE ST, Tyler, TX 75704
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Justin Melendez's NPI number?

The NPI number for Justin Melendez is 1073403416. It was assigned to this individual provider in the NPPES registry on July 7, 2025.

Where is Justin Melendez located?

Justin Melendez practices at 5812 Deauville St, Tyler, TX 75704. The listed phone number is (903) 931-2929.

What is Justin Melendez's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Justin Melendez was last updated on July 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.