Individual
GERALD MERRITT IV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1120 MEDICAL PLAZA DR STE 180, SHENANDOAH, TX 77380-3250
(281) 364-9041
Mailing address
1120 MEDICAL PLAZA DR STE 180, SHENANDOAH, TX 77380-3250
(281) 364-9041
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
3071
TX
213ES0103X
Foot & Ankle Surgery Podiatrist
356
OK
213ES0103X
Foot & Ankle Surgery Podiatrist
POD-001061
AZ
Other
Enumeration date
04/12/2017
Last updated
04/15/2025
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