Michelle Merritt Gary

Individual provider Active NPI Licensed Practical Nurse · Hemphill, TX

NPI 1366040198 · NPPES record last updated Oct 14, 2020

Key facts

NPI
1366040198
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
192179 (TX)
Practice address
118 Merritt LN
Hemphill, TX 75948-3137
Phone
(936) 288-1635
NPI assigned
Oct 14, 2020
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
192179TXMDLicensed Practical Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 192179 TX Yes

Addresses

Primary practice location

118 Merritt LN
Hemphill, TX 75948-3137

Mailing address

118 Merritt LN
Hemphill, TX 75948-3137
Phone (936) 288-1635

Other providers in Hemphill, TX

All providers in Hemphill, TX · Licensed Practical Nurse in Texas

Sources for this page

Verify at the official NPI Registry.