Provider Demographics
NPI:1386001600
Name:JOMY, MERLIN
Entity Type:Individual
Prefix:MRS
First Name:MERLIN
Middle Name:
Last Name:JOMY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7406 TRAIL HOLW
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77459-6030
Mailing Address - Country:US
Mailing Address - Phone:806-577-2200
Mailing Address - Fax:
Practice Address - Street 1:7406 TRAIL HOLW
Practice Address - Street 2:
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77459-6030
Practice Address - Country:US
Practice Address - Phone:806-577-2200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-01-16
Last Update Date:2016-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX736436163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse