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Individual

DR. COTTON DUDLEY MERRITT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
2005 BROADWAY ST, LUBBOCK, TX 79401-3019
(806) 744-3800
(806) 744-4210
Mailing address
2005 BROADWAY ST, LUBBOCK, TX 79401-3019
(806) 744-3800
(806) 744-4210

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6314
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0199790
DEPT OF LABOR & INDUSTRIE
TX
01
186014
HMO BLUE
TX
01
5630614
AETNA
TX
01
752964116
CIGNA
TX
01
8F3860
BC/BS
TX
Enumeration date
09/30/2005
Last updated
07/08/2007
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