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NPI Code Detail

MEDICARE: DR. MICHAEL ANDREW MCBRAYER II MD

MEDICARE:  DR. MICHAEL ANDREW MCBRAYER II 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
1390200000XStudent in an Organized Health Care Education/Training ProgramTX
2207Q00000XFamily Medicine PhysicianT2676TX

General Provider Information

NPI Number : 1356830319
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MICHAEL ANDREW MCBRAYER II MD
Provider Business Mailing Address
First Line : 8479 DAVIS BLVD STE 100
Second Line :
City : NORTH RICHLAND HILLS
State : TX
Zip : 76182-8604
Country : US
Telephone Number : 817-514-3833
Fax Number : 817-514-3835
Provider Business Practice Location Address
First Line : 8479 DAVIS BLVD STE 100
Second Line :
City : NORTH RICHLAND HILLS
State : TX
Zip : 76182-8604
Country : US
Telephone Number : 817-514-3833
Fax Number : 817-514-3835
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/05/2018
Last Update Date : 05/22/2024

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