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Organization
MERRITT CHIROPRACTIC, PA
Active
Organization
MERRITT CHIROPRACTIC, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. COTTON DUDLEY MERRITT D.C. (OWNER)
(806) 744-3800
Entity
Organization
Contact information
Practice address
2005 BROADWAY ST, LUBBOCK, TX 79401-3019
(806) 744-3800
(806) 744-4210
Mailing address
2005 BROADWAY ST, LUBBOCK, TX 79401-3019
(806) 744-3800
(806) 744-4210
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6314
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0199790
DEPT OF LABOR & INDUSTRIE
TX
01
—
186014
HMO BLUE
TX
01
—
5630614
AETNA
TX
01
—
8F3860
BCBS
TX
Enumeration date
03/27/2007
Last updated
07/16/2010
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