Most Relevant Information
Provider Data
| NPI Number: | 1003507344 |
| Provider Name: | BENJAMIN MORRIS MERRILL MD |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/17/2023 |
| Last Updated: | 05/17/2023 |
Provider Practice Location
3601 4TH ST
LUBBOCK
TX
794300002
Practice Location Phone/Fax
| Phone: | 8067431842 |
| Fax: |
Provider Mailing Location
3601 4TH ST
LUBBOCK
TX
794300002
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |