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NPI Code Detail

MEDICARE: MICHAEL ALFRED

MEDICARE: MICHAEL ALFRED
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

General Provider Information

NPI Number : 1386580975
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL ALFRED
Provider Business Mailing Address
First Line : 1 BAYLOR PLZ
Second Line :
City : HOUSTON
State : TX
Zip : 77030-3498
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1 BAYLOR PLZ
Second Line :
City : HOUSTON
State : TX
Zip : 77030-3411
Country : US
Telephone Number : 713-986-5534
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/27/2026
Last Update Date : 04/27/2026

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Directions to “ MICHAEL ALFRED ” Practice Location

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