Individual
MR. CARLOS ANDRE MERRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.T.
Contact information
Practice address
4800 MEMORIAL DR, WACO, TX 76711-1329
(254) 297-5429
Mailing address
4800 MEMORIAL DR, WACO, TX 76711-1329
(254) 297-5429
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
—
—
Other
Enumeration date
06/18/2008
Last updated
06/18/2008
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