Healthcare Provider Details

I. General information

NPI: 1720280068
Provider Name (Legal Business Name): RHONDA J. MERCHANT, M.D., P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/31/2007
Last Update Date: 11/30/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4512 LEGACY DR STE 200
PLANO TX
75024-2187
US

IV. Provider business mailing address

4512 LEGACY DR STE 200
PLANO TX
75024-2187
US

V. Phone/Fax

Practice location:
  • Phone: 972-491-7900
  • Fax: 972-491-7921
Mailing address:
  • Phone: 972-491-7900
  • Fax: 972-491-7921

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: HEATHER BUTLER
Title or Position: OFFICE MANAGER
Credential:
Phone: 972-491-7900