Provider Demographics
NPI:1043256811
Name:MERKLEY, KEVIN H (MD)
Entity Type:Individual
Prefix:
First Name:KEVIN
Middle Name:H
Last Name:MERKLEY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:301 UNIVERSITY BLVD
Mailing Address - Street 2:
Mailing Address - City:GALVESTON
Mailing Address - State:TX
Mailing Address - Zip Code:77555-1106
Mailing Address - Country:US
Mailing Address - Phone:409-747-5400
Mailing Address - Fax:409-747-5402
Practice Address - Street 1:700 UNIVERSITY BLVD
Practice Address - Street 2:
Practice Address - City:GALVESTON
Practice Address - State:TX
Practice Address - Zip Code:77555-1106
Practice Address - Country:US
Practice Address - Phone:409-747-5400
Practice Address - Fax:409-747-5402
Is Sole Proprietor?:No
Enumeration Date:2006-06-21
Last Update Date:2013-04-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
UT186738-1205207W00000X
TXN8222207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology