1962009340 NPI number — MER PHYSICIANS, PLLC

Table of content: (NPI 1962009340)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1962009340 NPI number — MER PHYSICIANS, PLLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
MER PHYSICIANS, PLLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1962009340
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/08/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
9811 KATY FWY STE 1060
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HOUSTON
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
77024-1280
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
713-590-0640
Provider Business Mailing Address Fax Number:
866-865-0063

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
6700 N 10TH ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MCALLEN
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78504-3292
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
713-590-0640
Provider Business Practice Location Address Fax Number:
866-865-0063
Provider Enumeration Date:
10/08/2020

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
PATEL
Authorized Official First Name:
DHARMESH
Authorized Official Middle Name:
Authorized Official Title or Position:
MANAGER
Authorized Official Telephone Number:
713-590-0640

Provider Taxonomy Codes

  • Taxonomy code: 207P00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)