Provider Demographics
NPI:1659316198
Name:LEWEN, MERRILL SUE (MD)
Entity Type:Individual
Prefix:DR
First Name:MERRILL
Middle Name:SUE
Last Name:LEWEN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:4600 GULF FWY
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77023-3548
Mailing Address - Country:US
Mailing Address - Phone:713-831-6554
Mailing Address - Fax:713-535-2554
Practice Address - Street 1:4600 GULF FWY
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77023-3548
Practice Address - Country:US
Practice Address - Phone:713-522-3976
Practice Address - Fax:404-494-7435
Is Sole Proprietor?:No
Enumeration Date:2006-06-18
Last Update Date:2017-03-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXM3298207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXM3298OtherTEXAS PHYSICIAN'S PERMIT