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NPI Code Detail

MEDICARE: DR. MICHAEL WILLIAM HOUCK D.O.

MEDICARE: DR. MICHAEL WILLIAM HOUCK D.O.
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
12085R0202XDiagnostic Radiology PhysicianJ9712TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1144208315
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MICHAEL WILLIAM HOUCK D.O.
Provider Business Mailing Address
First Line : 3206 4TH ST
Second Line :
City : LONGVIEW
State : TX
Zip : 75605-5143
Country : US
Telephone Number : 940-232-1261
Fax Number : 903-663-9960
Provider Business Practice Location Address
First Line : 713 E ANDERSON ST
Second Line :
City : WEATHERFORD
State : TX
Zip : 76086-5705
Country : US
Telephone Number : 409-232-1261
Fax Number : 903-663-9960
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/06/2006
Last Update Date : 03/11/2024

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