| Michael D Mixon Mdpa | |
|
1213 Dartmouth Cir Murphy TX 75094-4112 | |
| (214) 703-3764 | |
| Not Available |
| Full Name | Michael D Mixon Mdpa |
|---|---|
| Speciality | Internal Medicine |
| Location | 1213 Dartmouth Cir, Murphy, Texas |
| Authorized Official Name and Position | Michael D Mixon (PRESIDENT) |
| Authorized Official Contact | 2147033764 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael D Mixon Mdpa Po Box 941 Wylie TX 75098-0941 Ph: () - | Michael D Mixon Mdpa 1213 Dartmouth Cir Murphy TX 75094-4112 Ph: (214) 703-3764 |
| NPI Number | 1629357868 |
|---|---|
| Provider Enumeration Date | 08/05/2011 |
| Last Update Date | 04/27/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629357868 | NPI | - | NPPES |
| 098970901 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | J1317 (Texas) | Primary |
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