MELODY J A DESANTIAGO CPNP
NPI 1982624193
Pediatrics in Killeen, TX

Active since July 20, 2006
4102 S CLEAR CREEK RD STE 107, KILLEEN, TX 76549(254) 526-8300(254) 526-4828 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 21, 2022, Jun 16, 2018, Mar 17, 2018 and 1 more (4 updates tracked since 2017).

About Melody J A Desantiago Cpnp NPPES

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

MELODY J A DESANTIAGO CPNP (NPI 1982624193) is an individual pediatrics provider in Killeen, Texas, licensed in Texas (AP113575) and active in the NPI registry since July 2006. She maintains a secondary practice location in Killeen.

NPPES Registry Identity

NPI1982624193
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameMELODY J A DESANTIAGOCredential: CPNP
Location Address4102 S CLEAR CREEK RD STE 107Killeen, TX 76549-5954
Mailing Address503 W Vardeman AveKilleen, TX 76541-7962 · (254) 501-3793
Fax(254) 526-4828
Sole ProprietorNo
Enumeration DateJuly 20, 2006
Last NPPES UpdateJuly 21, 20224 updates tracked since enumeration
NPI 1982624193 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in TX · AP113575
Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

4102 S CLEAR CREEK RD STE 107, Killeen, TX 76549

Secondary Practice Location 1

Location 12301 S Clear Creek Rd, Suite 226Killeen, TX 76549-4143 · Phone (254) 526-8300 · Fax (254) 526-4828

Other Identifiers 1

Medicaid367312101TX

Accepted Insurance

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1982624193, enumerated as an "individual" on July 20, 2006.

The provider is located at 4102 S CLEAR CREEK RD STE 107 KILLEEN, TX 76549 and the phone number is (254) 526-8300.

Pediatrics with taxonomy code 208000000X.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Texas,. Please consult your insurance carrier or call the provider to verify.