Provider Demographics
NPI:1427029693
Name:CHELATION CENTERS OF TEXAS
Entity Type:Organization
Organization Name:CHELATION CENTERS OF TEXAS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DOROTHY
Authorized Official - Middle Name:F
Authorized Official - Last Name:MERRITT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:409-938-1770
Mailing Address - Street 1:6807 EMMETT LOWRY EXPRESSWAY
Mailing Address - Street 2:SUITE 103
Mailing Address - City:TEXAS CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77591
Mailing Address - Country:US
Mailing Address - Phone:409-938-1770
Mailing Address - Fax:409-938-0701
Practice Address - Street 1:6807 EMMETT LOWRY EXPRESSWAY
Practice Address - Street 2:SUITE 103
Practice Address - City:TEXAS CITY
Practice Address - State:TX
Practice Address - Zip Code:77591
Practice Address - Country:US
Practice Address - Phone:409-938-1770
Practice Address - Fax:409-938-0701
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
Not Answered207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0021KYOtherBCBS
TX00465VMedicare ID - Type Unspecified