Melody Patrice Marks | Dallas, TX • PECOS Search

Melody Patrice Marks

Registered Nurse

Nursing Service Providers

13601 Preston Rd Ste 210w, Dallas, TX 75240-4986

PECOS Enrollment

Based on the most recent information from CMS, provider Melody Patrice Marks does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1669973905
Provider Type
Individual
Full Name
Marks, Melody Patrice
Title
Ms.
Credential
RN

Gender
Female
Sole Proprietor
No
Enumeration Date
2/22/2018
Last Updated
2/22/2018

Contact Information

Practice Location

13601 Preston Rd Ste 210w, Dallas, TX 75240-4986

Unlisted Fax

Mailing Location

13601 Preston Rd Ste 210w, Dallas, TX 75240-4986

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 163W00000X Primary	Description Registered Nurse Nursing Service Providers	License 709218 Texas