Organization
DR. SHIRLEY GAY MERRITT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TAMMY FOUNTAIN (OFFICE MANAGER)
(210) 614-8400
Entity
Organization
Contact information
Practice address
4242 MEDICAL DR, SAN ANTONIO, TX 78229-5640
(210) 614-8400
(210) 614-8165
Mailing address
4242 MEDICAL DR, SAN ANTONIO, TX 78229-5640
(210) 614-8400
(210) 614-8165
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
H4553
TX
Other
Enumeration date
11/20/2007
Last updated
11/20/2007
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