MEDICARE: DR. ANDRE' JOSEPH MERGEY DC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	15600	TX

General Provider Information

NPI Number	:	1477247849
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANDRE' JOSEPH MERGEY DC

Provider Business Mailing Address
First Line	:	8300 RED BLUFF RD APT 1533
Second Line	:
City	:	PASADENA
State	:	TX
Zip	:	77507-1131
Country	:	US
Telephone Number	:	985-791-5859
Fax Number	:

Provider Business Practice Location Address
First Line	:	735 GULFGATE CENTER MALL
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77087-3027
Country	:	US
Telephone Number	:	713-803-2518
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/07/2023
Last Update Date	:	06/07/2023

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