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Organization
MERIA G AULDS, MD, PA
Active
Organization
MERIA G AULDS, MD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MERIA G AULDS M.D. (OWNER/PHYSICIAN)
(940) 626-0052
Entity
Organization
Contact information
Practice address
2014 BEN MERRITT DR, SUITE A-2, DECATUR, TX 76234-3850
(940) 626-0052
(940) 626-0082
Mailing address
2014 BEN MERRITT DR, SUITE A-2, DECATUR, TX 76234-3850
(940) 626-0052
(940) 626-0082
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0067QJ
BCBS
TX
01
—
DD5385
MEDICARE RAILROAD
—
Enumeration date
06/04/2006
Last updated
02/01/2008
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