Individual
KYLE MERICLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AA
Contact information
Practice address
6606 LBJ FWY STE 200, DALLAS, TX 75240-6524
(972) 715-5000
(972) 715-9976
Mailing address
PO BOX 840853, DALLAS, TX 75284-0853
(972) 233-1999
(972) 233-3666
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
1612
TX
367H00000X
Anesthesiologist Assistant
37
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100033633
—
WI
Enumeration date
11/05/2013
Last updated
05/19/2022
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