Provider Demographics
NPI:1437568136
Name:MELCHER, PORSHA
Entity type:Individual
Prefix:
First Name:PORSHA
Middle Name:
Last Name:MELCHER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2626 S LOOP W STE 310
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77054-2645
Mailing Address - Country:US
Mailing Address - Phone:832-779-6559
Mailing Address - Fax:
Practice Address - Street 1:2121 WILLIAMS TRACE BLVD STE 300
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77478-4526
Practice Address - Country:US
Practice Address - Phone:281-747-7620
Practice Address - Fax:281-747-7621
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-06
Last Update Date:2025-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX3142213E00000X, 213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist