Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RS0012X | Sleep Medicine | L6114 | TX |
NPI | 1316954092 |
---|---|
Provider Name | Dr. Sonya Leigh Merrill |
First Address | Dallas, TX 75230 |
Second Address | Dallas, TX 75230 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/08/2006 |
Last Update Date | 16/07/2007 |