Merkle, Mary Haven

Merkle, Mary Haven is an individual health care provider with primary practice located at 710 Fm 1960 West , Houston TX 77090-3402. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Merkle, Mary Haven can be contacted via phone (281) 440-2692.

Contact Information

Primary practice address
710 Fm 1960 West Houston TX 77090-3402
Fax: (281) 440-2653
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X K0133 Texas
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X K0133 Texas

Profile Details

NPI number 1164406732
LBN Legal business name Merkle, Mary Haven
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 6th, 2005
Last updated Mar 5th, 2010 - about 16 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 1164406732 NPPES
Texas MEDICAID 100338601

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