| Doctor Name: | GENET MELESSE |
| NPI Number: | 1205228152 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | |
| Business Practice Address: | 3612 Glastonbury Trl Pflugerville, TX - 786603468 |
| Business Phone Number: | 5126595990 |
| Business Fax Number: | |
| Mailing Address: | 3612 Glastonbury Trl, PFLUGERVILLE |
| State: | TX |
| Postal Code: | 786603468 |
| Phone Number: | 5126595990 |
| Fax Number: | |
| NPI Enumeration Date: | 03/02/2015 |
| NPI Last Update Date: | 03/02/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 343800000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Transportation Services |
| Taxonomy Classification: | Secured Medical Transport (VAN) |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A public or privately owned transportation service with vehicles, specially equipped to provide enhanced safety, security and passenger restraint, and staffed by one or more individuals trained to work with patients in crisis situations resulting from mental or emotional illness and/or substance abuse. |