Individual
MERRI LOU PENDERGRASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5323 HARRY HINES BLVD., DALLAS,, TX 75390-7201
(214) 645-8600
(214) 645-8601
Mailing address
P.O. BOX 845347, DALLAS, TX 75284-5347
(214) 645-8600
(214) 645-8601
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
H8318
TX
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
219656
MA
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
H8318
TX
Other
Enumeration date
05/12/2006
Last updated
09/18/2012
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