Merrell, John W

Merrell, John W is an individual health care provider with primary practice located at 302 University Blvd , Round Rock TX 78665-1032. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Merrell, John W can be contacted via phone (512) 509-0200.

Contact Information

Primary practice address
302 University Blvd Round Rock TX 78665-1032
Phone: (512) 509-0200
Fax: (512) 218-6330
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X A10176 Louisiana
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA2181 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA13272 Texas

Profile Details

NPI number 1912961897
LBN Legal business name Merrell, John W
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 17th, 2006
Last updated Jan 2nd, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912961897 NPPES
Louisiana MEDICAID 1625795

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