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Individual

DR. DANIEL B MERRITT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
707 HOLLYBROOK DR, LONGVIEW, TX 75605-2410
(903) 234-1830
(903) 234-0413
Mailing address
PO BOX 610393, DALLAS, TX 75261-0393
(903) 291-6187
(903) 237-1810

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
K5352
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
143156103
TX
Enumeration date
03/07/2006
Last updated
09/24/2019
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