MEDICARE: MICHELLE MAGID M.D.

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	2084P0800X	Psychiatry Physician	XXXXXX	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	8S5912	OTHER	TX	BCBS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1184602591
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHELLE MAGID M.D.

Provider Business Mailing Address
First Line	:	4131 SPICEWOOD SPRINGS RD STE G5
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78759-8659
Country	:	US
Telephone Number	:	512-985-9301
Fax Number	:	512-985-9281

Provider Business Practice Location Address
First Line	:	4131 SPICEWOOD SPRINGS RD STE G5
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78759-8659
Country	:	US
Telephone Number	:	512-985-9301
Fax Number	:	512-985-9281

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

Provider Enumeration Date	:	01/05/2006
Last Update Date	:	04/28/2023

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Directions to “ MICHELLE MAGID M.D.” Practice Location

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