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NPI Code Detail

MEDICARE: ANTHONY B. WAY M.D.

MEDICARE:   ANTHONY B. WAY  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
12083P0901XPublic Health & General Preventive Medicine PhysicianE0181TX

General Provider Information

NPI Number : 1902898851
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANTHONY B. WAY M.D.
Provider Business Mailing Address
First Line : 4334 MELISSA LN
Second Line :
City : DALLAS
State : TX
Zip : 75229-4113
Country : US
Telephone Number : 214-353-0195
Fax Number :
Provider Business Practice Location Address
First Line : 4334 MELISSA LN
Second Line :
City : DALLAS
State : TX
Zip : 75229-4113
Country : US
Telephone Number : 214-353-0195
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/17/2005
Last Update Date : 07/08/2007

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Directions to “ ANTHONY B. WAY M.D.” Practice Location

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