Michael D. Merren, M.D., P.a.

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

E1379 Issued in TX

Legal business name

MICHAEL D. MERREN, M.D., P.A.

Practice address

9119 Cinnamon HL
San Antonio, TX 78240-5401

Phone

(210) 561-7555

Fax

(210) 696-2643

NPI assigned

Aug 26, 2010

Last updated

Aug 26, 2010By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Michael David Merren, M.D.

Title

President

Phone

(210) 561-7555

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1282780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282780800000",
    "number": "1790091874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9119 CINNAMON HL",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782405401",
            "telephone_number": "210-561-7555",
            "fax_number": "210-696-2643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9119 CINNAMON HL",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782405401",
            "telephone_number": "210-561-7555",
            "fax_number": "210-696-2643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL D. MERREN, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-26",
        "last_updated": "2010-08-26",
        "status": "A",
        "authorized_official_last_name": "MERREN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "210-561-7555",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "E1379",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "122583103",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Michael E Lozano MD PA (IMPACT Physicians of Texas, P.A.)
• Michael E. Decherd, M.D., P.a.
• Michael I Zuflacht,MD,PA (Doing Business As)
• Michael J. Yuchnitz (My Econos 39 95 Optical)

• Neurology Physician in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Neurology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.