Provider Demographics
NPI:1740442185
Name:MERGE HEALTH TEXAS, LLC
Entity type:Organization
Organization Name:MERGE HEALTH TEXAS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TODD
Authorized Official - Middle Name:ANTHONY
Authorized Official - Last Name:GATHRIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:817-991-9478
Mailing Address - Street 1:9001 AIRPORT FWY
Mailing Address - Street 2:925
Mailing Address - City:NORTH RICHLAND HILLS
Mailing Address - State:TX
Mailing Address - Zip Code:76180-7769
Mailing Address - Country:US
Mailing Address - Phone:817-277-7800
Mailing Address - Fax:
Practice Address - Street 1:770 ROAD TO SIX FLAGS ST E
Practice Address - Street 2:STE 174
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76011-8408
Practice Address - Country:US
Practice Address - Phone:817-277-7800
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-26
Last Update Date:2016-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty