MEDICARE: MICHAEL HAAS M.D.

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	207PE0004X	Emergency Medical Services (Emergency Medicine) Physician	G3419	TX

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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1871531046
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL HAAS M.D.

Provider Business Mailing Address
First Line	:	3003 DRAPERS CV
Second Line	:
City	:	LAGO VISTA
State	:	TX
Zip	:	78645-7209
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7900 FM 1826
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78737-1407
Country	:	US
Telephone Number	:	512-324-9010
Fax Number	:

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

Provider Enumeration Date	:	06/02/2006
Last Update Date	:	03/26/2008

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Directions to “ MICHAEL HAAS M.D.” Practice Location

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