Merrill, Berkeley
Merrill, Berkeley is an individual health care provider with primary practice located at 6100 Harris Pkwy Ste 1240 Pease Building, Fort Worth TX 76132-4101. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Merrill, Berkeley can be contacted via phone (817) 346-0075.Contact Information
Primary practice address
6100 Harris Pkwy Ste 1240 Pease Building
Fort Worth TX 76132-4101
Phone: (817) 346-0075
Fax: (817) 346-0097
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | E1054 | Texas |
Profile Details
| NPI number | 1467422444 |
|---|---|
| LBN Legal business name | Merrill, Berkeley |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 24th, 2006 |
| Last updated | Apr 25th, 2014 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1467422444 | NPPES |
| Texas | MEDICAID | 097028703 | |
| Texas | MEDICAID | 097028704 |
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