Provider Demographics
NPI:1275724338
Name:MERRITT, SUMMER ALEXANDER (MD)
Entity Type:Individual
Prefix:DR
First Name:SUMMER
Middle Name:ALEXANDER
Last Name:MERRITT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:SUMMERR
Other - Middle Name:KRISTIN
Other - Last Name:ALEXANDER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:421 W WADLEY AVE
Mailing Address - Street 2:SUITE B
Mailing Address - City:MIDLAND
Mailing Address - State:TX
Mailing Address - Zip Code:79705-6438
Mailing Address - Country:US
Mailing Address - Phone:432-684-4327
Mailing Address - Fax:432-684-4341
Practice Address - Street 1:421 W WADLEY AVE
Practice Address - Street 2:SUITE B
Practice Address - City:MIDLAND
Practice Address - State:TX
Practice Address - Zip Code:79705-6438
Practice Address - Country:US
Practice Address - Phone:432-684-4327
Practice Address - Fax:432-684-4341
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-05
Last Update Date:2024-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM5019207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine