MEDICARE: MARGARET E. MIKE, MD, PLLC

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	2084S0012X	Sleep Medicine (Psychiatry & Neurology) Physician	J2686	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1982689006	OTHER	TX	NPPES

General Provider Information

NPI Number	:	1275011819
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MARGARET E. MIKE, MD, PLLC

Provider Business Mailing Address
First Line	:	6020 W PARKER RD STE 305
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75093-8350
Country	:	US
Telephone Number	:	972-865-6990
Fax Number	:	972-853-3246

Provider Business Practice Location Address
First Line	:	6020 W PARKER RD STE 305
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75093-8350
Country	:	US
Telephone Number	:	972-865-6990
Fax Number	:	972-853-3246

Authorized Official
Title or Position	:	PRACTICE MANAGER
Name	:	NANCY ANNETTE FERRELL
Credential	:
Telephone Number	:	974-865-6990

Provider Enumeration Date	:	08/06/2018
Last Update Date	:	08/06/2018

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