Provider Demographics
NPI:1508000712
Name:MERRITT, CATHERINE R (LM, CPM)
Entity Type:Individual
Prefix:
First Name:CATHERINE
Middle Name:R
Last Name:MERRITT
Suffix:
Gender:F
Credentials:LM, CPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30820 VENTURER
Mailing Address - Street 2:
Mailing Address - City:FAIR OAKS RANCH
Mailing Address - State:TX
Mailing Address - Zip Code:78015-4146
Mailing Address - Country:US
Mailing Address - Phone:210-364-7601
Mailing Address - Fax:830-981-4417
Practice Address - Street 1:30820 VENTURER
Practice Address - Street 2:
Practice Address - City:FAIR OAKS RANCH
Practice Address - State:TX
Practice Address - Zip Code:78015-4146
Practice Address - Country:US
Practice Address - Phone:210-364-7602
Practice Address - Fax:830-981-4417
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-01
Last Update Date:2009-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX96015176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife