MEDICARE: DR. MICHAEL GELLATLY IVERSEN MD

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	207Q00000X	Family Medicine Physician	H8992	TX

General Provider Information

NPI Number	:	1760494074
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL GELLATLY IVERSEN MD

Provider Business Mailing Address
First Line	:	525 N BRENTWOOD
Second Line	:
City	:	LUFKIN
State	:	TX
Zip	:	75904-7124
Country	:	US
Telephone Number	:	936-634-3627
Fax Number	:	936-633-2398

Provider Business Practice Location Address
First Line	:	525 N BRENTWOOD
Second Line	:
City	:	LUFKIN
State	:	TX
Zip	:	75904-7124
Country	:	US
Telephone Number	:	936-634-3627
Fax Number	:

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

Provider Enumeration Date	:	08/13/2006
Last Update Date	:	03/17/2008

Similar Medicare Providers

1699817726 — MS. CHANTAL RAYUNZA CULPEPPER MD
Practice Location Address:

517 N BRENTWOOD
LUFKIN, TX
75904-7124

Practice Phone: 936-637-5970
Practice Fax: 936-637-5971

1386991123 — KIMBERLY MICHELLE DEATON FNP-C
Practice Location Address:

525 N BRENTWOOD
LUFKIN, TX
75904-7124

Practice Phone: 936-634-3627
Practice Fax:

1700243730 — KRISTA L TABLER GRESHAM NP
Practice Location Address:

525 N BRENTWOOD
LUFKIN, TX
75904-7124

Practice Phone: 936-205-2778
Practice Fax: 936-873-8753

1134622905 — LIFELINES CENTER FOR HEALTH PLLC
Practice Location Address:

525 N BRENTWOOD
LUFKIN, TX
75904-7124

Practice Phone: 936-205-2778
Practice Fax: 936-873-8753

1831750280 — LAUREN MICHELLE SMITH PTA
Practice Location Address:

521 N BRENTWOOD
LUFKIN, TX
75904-7124

Practice Phone: 936-632-2639
Practice Fax: 936-639-4923

1790346153 — JOSHUA JONES
Practice Location Address:

521 N BRENTWOOD
LUFKIN, TX
75904-7124

Practice Phone: 936-632-2639
Practice Fax: 936-639-4923

Directions to “ DR. MICHAEL GELLATLY IVERSEN MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.