Healthcare Provider Details

I. General information

NPI: 1275294894
Provider Name (Legal Business Name): MERGE HEALTH, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/05/2022
Last Update Date: 03/20/2025
Certification Date: 03/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12801 N CENTRAL EXPY STE 400
DALLAS TX
75243-1716
US

IV. Provider business mailing address

12801 N CENTRAL EXPY STE 400
DALLAS TX
75243-1716
US

V. Phone/Fax

Practice location:
  • Phone: 972-905-1664
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. ANDREW INDRESANO
Title or Position: PHYSICIAN
Credential: MD
Phone: 612-202-0179