MEDICARE: MICHAEL LOUIS KUEHT II

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	R0604	TX
2	204F00000X	Transplant Surgery Physician	R0604	TX

General Provider Information

NPI Number	:	1821357153
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL LOUIS KUEHT II

Provider Business Mailing Address
First Line	:	PO BOX 650859
Second Line	:	DEPT 710
City	:	DALLAS
State	:	TX
Zip	:	75265-0859
Country	:	US
Telephone Number	:	409-772-2222
Fax Number	:

Provider Business Practice Location Address
First Line	:	2660 GULF FWY S STE 3
Second Line	:
City	:	LEAGUE CITY
State	:	TX
Zip	:	77573-6820
Country	:	US
Telephone Number	:	832-505-2350
Fax Number	:

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

Provider Enumeration Date	:	05/07/2012
Last Update Date	:	05/13/2025

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