MEDICARE: MICHAEL DARNELL 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	208600000X	Surgery Physician	M2936	TX
2	174400000X	Specialist	M2936	TX

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	946247	OTHER	TX	MEDICARE PTAN

Other Identifiers

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

General Provider Information

NPI Number	:	1750365185
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL DARNELL MD

Provider Business Mailing Address
First Line	:	7100 OAKMONT BLVD STE 204
Second Line	:
City	:	FT WORTH
State	:	TX
Zip	:	76132-3911
Country	:	US
Telephone Number	:	972-566-3040
Fax Number	:	682-499-5921

Provider Business Practice Location Address
First Line	:	7100 OAKMONT BLVD STE 204
Second Line	:
City	:	FT WORTH
State	:	TX
Zip	:	76132-3911
Country	:	US
Telephone Number	:	972-566-3040
Fax Number	:	682-499-5921

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

Provider Enumeration Date	:	11/30/2005
Last Update Date	:	06/29/2020

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Directions to “ MICHAEL DARNELL MD” Practice Location

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