Individual
AMY JO MERCHANT NEWMEYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1901 SW H K DODGEN LOOP BLDG 300, TEMPLE, TX 76502-1814
(254) 724-5437
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(800) 994-0371
Taxonomy
Speciality
Code
Description
License number
State
2080P0006X
Developmental - Behavioral Pediatrics Physician
35.079537
OH
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
U1963
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2247296
—
OH
01
—
H617580
CGS-MEDICARE
OH
Enumeration date
06/13/2006
Last updated
05/24/2023
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