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NPI Code Detail

MEDICARE: KATHERINE CLARE MICHELIS M.D.

MEDICARE:   KATHERINE CLARE MICHELIS  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
1207RA0001XAdvanced Heart Failure and Transplant Cardiology PhysicianR6441TX

General Provider Information

NPI Number : 1316212590
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHERINE CLARE MICHELIS M.D.
Provider Business Mailing Address
First Line : PO BOX 845347
Second Line :
City : DALLAS
State : TX
Zip : 75284-7208
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6201 HARRY HINES BLVD
Second Line :
City : DALLAS
State : TX
Zip : 75390-3027
Country : US
Telephone Number : 214-633-5555
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/20/2012
Last Update Date : 08/16/2021

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Directions to “ KATHERINE CLARE MICHELIS M.D.” Practice Location

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