Hearts R Wild Pa

NPI 1457643447 - Anesthesiology - 207L00000X

NPI Details
NPI 1457643447
Enumeration Date 05/09/2011
Last Updated 11/04/2013
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name MICHAEL F MICHAEL
Position OWNER
Phone (432) 699-0952
Fax (432) 520-2723
Practice Location
4519 N GARFIELD ST
SUITE 15
MIDLAND TX, 79705-3415, US
Phone (432) 699-0952
Fax (432) 520-2723
Business Location
PO BOX 4157
MIDLAND TX, 79704-4157, US
Phone (432) 699-0952
Fax (432) 520-2723
Toxanomy
Taxonomy Code 207L00000X
License State
License Number
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According to our database, Hearts R Wild Pa NPI is 1457643447, taxonomy code is 207L00000X Hearts R Wild Pa physically located at 4519 N Garfield St, Midland TX, 79705-3415. NPI Number 1033115704 has the healthcare provider type.

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1457643447 NPI number is provided on an as is basis without warranty of any kind. 1457643447 is maintained by the National Plan & Provider Enumeration System. The contents of Hearts R Wild Pa are for informational purposes only.