Individual
JOHN A MERRITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
3810 HUGHES CT, DICKINSON, TX 77539-6205
(936) 639-3036
(936) 639-3064
Mailing address
PO BOX 800129, DALLAS, TX 75380-0129
(888) 324-7432
(972) 528-5309
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
048168
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003398702
—
TX
01
—
82690U
BCBS
TX
Enumeration date
07/18/2006
Last updated
12/15/2021
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