Provider Demographics
NPI:1801850763
Name:MERRITT, JAMES HANSEL III (MD)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:HANSEL
Last Name:MERRITT
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:8230 WALNUT HILL LN
Mailing Address - Street 2:SUITE 508
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75231-4482
Mailing Address - Country:US
Mailing Address - Phone:214-369-0555
Mailing Address - Fax:214-363-6759
Practice Address - Street 1:8230 WALNUT HILL LN
Practice Address - Street 2:SUITE 508
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75231-4482
Practice Address - Country:US
Practice Address - Phone:214-369-0555
Practice Address - Fax:214-363-6759
Is Sole Proprietor?:No
Enumeration Date:2006-04-17
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF1817207W00000X, 207WX0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207WX0200XAllopathic & Osteopathic PhysiciansOphthalmologyOphthalmic Plastic and Reconstructive Surgery
No207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX120239203Medicaid
TXP00720107Medicare PIN
TX00G14FMedicare PIN
TX8F20648Medicare PIN
TX120239203Medicaid