Provider Demographics
NPI:1164571527
Name:PEMBER, MERRITT ARTHUR II (MD)
Entity Type:Individual
Prefix:DR
First Name:MERRITT
Middle Name:ARTHUR
Last Name:PEMBER
Suffix:II
Gender:M
Credentials:MD
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Mailing Address - Street 1:2805 DALLAS PKWY
Mailing Address - Street 2:SUITE 640
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093-8719
Mailing Address - Country:US
Mailing Address - Phone:469-277-8255
Mailing Address - Fax:866-509-8481
Practice Address - Street 1:3014 N O CONNOR RD
Practice Address - Street 2:SUITE 110
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75062-4415
Practice Address - Country:US
Practice Address - Phone:469-277-8255
Practice Address - Fax:866-509-8481
Is Sole Proprietor?:No
Enumeration Date:2007-01-08
Last Update Date:2016-07-19
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Provider Licenses
StateLicense IDTaxonomies
TXL4090207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX157197802Medicaid
TX8F23916Medicare PIN