Michael Reid Mccullough in Grand Prairie - Obstetrics
Michael Reid Mccullough - NPI 1932135704
Michael Reid Mccullough is a Obstetrics in Grand Prairie, Texas. Michael Reid Mccullough practices all healthcare services and medical treatments related to Obstetrics. The NPI Number for Michael Reid Mccullough is 1932135704. The last update date is 2022-01-18.
Michael Reid Mccullough's current location address is 643 S Great Southwest Pkwy, Grand Prairie, Texas. You can contact this provider via phone number 9729881588 and fax number 9726020615. The mailing address for Michael Reid Mccullough is 643 S Great Southwest Pkwy, Grand Prairie, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael Reid Mccullough |
|---|---|
| Address | 643 S Great Southwest Pkwy, Grand Prairie, Texas |
| Phone Number | 9729881588 |
| Fax Number | 9726020615 |
| Sole Proprietor | Y |
| Credentials | DO |
NPI Number Detail
| NPI Number | 1932135704 |
|---|---|
| Provider Enumeration Date | 2006-06-24 |
| Last Updated Date | 2022-01-18 |
Provider Mailing Address Detail
| Address | 643 S Great Southwest Pkwy |
|---|---|
| City | Grand Prairie |
| State | Texas (TX) |
| Post Code | 750511056 |
| Phone Number | 9729881588 |
| Fax Number | 9726020615 |
Provider's Primary Taxonomy Detail
| Speciality | Obstetrics |
|---|---|
| Taxonomy | 207Vx0000X |
| Licence No | H9682 |
|
Definition: A physician who specializes in diagnosis, treatment, and management of patients with obstetric conditions. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 33519201 | TX | -- | |
| 10028878 | TX | AMERIGROUP ID | |
| 1275832362 | TX | -- | |
| 4250747 | TX | AETNA ID | |
| G74V | TX | BLUE CROSS BLUE SHIELD ID | |
| 33519201 | TX | TPI |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Michael Reid Mccullough by the Centers for Medicare & Medicaid Services?
The Michael Reid Mccullough has been issued the NPI (National Provider Identifier) 1932135704 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Michael Reid Mccullough's facilities are situated?
The facilities of Michael Reid Mccullough are physically located at the following address: 643 S Great Southwest Pkwy, Grand Prairie, TX, 750511056.
What is the Michael Reid Mccullough's specialty and taxonomy code?
The Michael Reid Mccullough's specialty is Obstetrics, and the corresponding taxonomy code is 207Vx0000X.
On what date did the Michael Reid Mccullough receive its 1932135704 assignment from the Centers for Medicare & Medicaid Services?
The Michael Reid Mccullough was assigned its 1932135704 by the Centers for Medicare & Medicaid Services on 2006-06-24.
When was the information regarding Michael Reid Mccullough, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Michael Reid Mccullough, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2022-01-18.