Mericle, Kyle

Mericle, Kyle is an individual health care provider with primary practice located at 6606 Lbj Fwy Ste 200 , Dallas TX 75240-6524. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant, which is considered as his primary health care specialty. Mericle, Kyle can be contacted via phone (972) 715-5000.

Contact Information

Primary practice address
6606 Lbj Fwy Ste 200 Dallas TX 75240-6524
Phone: (972) 715-5000
Fax: (972) 715-9976
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant 367H00000X 37 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant 367H00000X 1612 Texas

Profile Details

NPI number 1073942561
LBN Legal business name Mericle, Kyle
Credentials Associate of Arts (AA)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 5th, 2013
Last updated May 19th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073942561 NPPES
Wisconsin MEDICAID 100033633

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