Healthcare Provider Details

I. General information

NPI: 1669575932
Provider Name (Legal Business Name): MICHAEL D. PRICE, MD, PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/05/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6250 HWY 83/84
ABILENE TX
79606
US

IV. Provider business mailing address

7 CHERRY HILLS ST
ABILENE TX
79606-5149
US

V. Phone/Fax

Practice location:
  • Phone: 325-793-5380
  • Fax: 325-793-5259
Mailing address:
  • Phone: 325-793-5380
  • Fax: 325-793-5259

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberJ3688
License Number StateTX

VIII. Authorized Official

Name: DR. MICHAEL D PRICE
Title or Position: OWNER
Credential: MD
Phone: 325-641-2655