Individual
DR. CHRISTINE C MOULDS-MERRITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
707 HOLLYBROOK DR, LONGVIEW, TX 75605-2410
(903) 291-6022
(903) 291-6021
Mailing address
PO BOX 610393, DALLAS, TX 75261-0393
(903) 291-6187
(903) 237-1810
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
J4378
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104102205
—
TX
Enumeration date
03/02/2006
Last updated
04/30/2018
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