Magliolo, Michael Anthony
Magliolo, Michael Anthony is an individual health care provider with primary practice located at 2060 Space Park Dr Ste 410 , Houston TX 77058-3676. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Gynecology. Allopathic & Osteopathic Physicians / Gynecology is his primary health care specialty. Magliolo, Michael Anthony can be contacted via phone (281) 334-6875.Contact Information
Primary practice address
2060 Space Park Dr Ste 410
Houston TX 77058-3676
Phone: (281) 334-6875
Fax: (281) 334-0664
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | E6133 | Texas |
| Allopathic & Osteopathic Physicians / Gynecology | 207VG0400X | E6133 | Texas |
Profile Details
| NPI number | 1801894928 |
|---|---|
| LBN Legal business name | Magliolo, Michael Anthony |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 12th, 2005 |
| Last updated | Aug 15th, 2016 - about 10 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 | 1801894928 | NPPES |
| Texas | MEDICAID | 105811704 | |
| Texas | Other | 8FL150 | |
| Texas | MEDICAID | P08862321 | |
| Texas | MEDICAID | 105811703 | |
| Texas | Other | 8FX367 |
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