Maris, Michael L.
Maris, Michael L. is an individual health care provider with primary practice located at 9 Medical Parkway #105, Dallas TX 75234-7852. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Procedural Dermatology. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Maris, Michael L. can be contacted via phone (972) 243-4530.Contact Information
Primary practice address
9 Medical Parkway #105
Dallas TX 75234-7852
Phone: (972) 243-4530
Fax: (972) 406-1950
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | E4506 | Texas |
| Allopathic & Osteopathic Physicians / Procedural Dermatology | 207NS0135X | E4506 | Texas |
Profile Details
| NPI number | 1225104672 |
|---|---|
| LBN Legal business name | Maris, Michael L. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 28th, 2006 |
| Last updated | May 28th, 2009 - about 17 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 | 1225104672 | NPPES |
| Texas | Other | D28C | GROUP BCBS |
| Texas | Other | 00D28C | GROUP BCBS |
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