Bailey, Michael Lynn
Bailey, Michael Lynn is an individual health care provider with primary practice located at 3418 N Tarrant Pkwy Ste 310 , Fort Worth TX 76177-8645. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Bailey, Michael Lynn can be contacted via phone (817) 562-2339.Contact Information
Primary practice address
3418 N Tarrant Pkwy Ste 310
Fort Worth TX 76177-8645
Phone: (817) 562-2339
Fax: (817) 562-1342
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | K5446 | Texas |
Profile Details
| NPI number | 1215931639 |
|---|---|
| LBN Legal business name | Bailey, Michael Lynn |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 13th, 2005 |
| Last updated | Feb 8th, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1215931639 | NPPES |
| Texas | MEDICAID | 201660202 | |
| Texas | MEDICAID | 130929606 | |
| Texas | MEDICAID | 130929614 | |
| Texas | MEDICAID | 130929605 | |
| Texas | Other | P01037952 | |
| Texas | MEDICAID | 201660201 |
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