MEDICARE: MICHAEL L FREEMAN 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
1	207Q00000X	Family Medicine Physician	D8223	TX

General Provider Information

NPI Number	:	1407969942
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL L FREEMAN MD

Provider Business Mailing Address
First Line	:	545 W WHEATLAND RD
Second Line	:
City	:	DUNCANVILLE
State	:	TX
Zip	:	75116-4515
Country	:	US
Telephone Number	:	972-298-7191
Fax Number	:	972-296-8242

Provider Business Practice Location Address
First Line	:	545 W WHEATLAND RD
Second Line	:
City	:	DUNCANVILLE
State	:	TX
Zip	:	75116-4515
Country	:	US
Telephone Number	:	972-298-7191
Fax Number	:	972-296-8242

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/17/2006
Last Update Date	:	10/12/2007

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