Individual
DR. BERKELEY MERRILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6100 HARRIS PKWY STE 1240, PEASE BUILDING, FORT WORTH, TX 76132-4101
(817) 346-0075
(817) 346-0097
Mailing address
6100 HARRIS PKWY STE 1240, PEASE BUILDING, FORT WORTH, TX 76132-4101
(817) 346-0075
(817) 346-0097
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
E1054
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
097028703
—
TX
05
—
097028704
—
TX
Enumeration date
01/24/2006
Last updated
04/25/2014
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