| NPI | 1699879288 |
|---|---|
| Doing Business As | MELANIE ILLICH MD PA |
| Entity Type | Organization |
| Authorized Contact | MELANIE B ILLICH President 254-772-2006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX J2104) |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2013-11-26 |