Pendola, Michael J

Pendola, Michael J is an individual health care provider with primary practice located at 3409 Worth St Suite 500, Dallas TX 75246-2029. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Colon & Rectal Surgery. Allopathic & Osteopathic Physicians / Colon & Rectal Surgery is his primary health care specialty. Pendola, Michael J can be contacted via phone (214) 824-1730.

Contact Information

Primary practice address
3409 Worth St Suite 500 Dallas TX 75246-2029
Phone: (214) 824-1730
Fax: (214) 283-4337
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X L4638 Texas

Profile Details

NPI number 1932279577
LBN Legal business name Pendola, Michael J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 9th, 2006
Last updated Apr 7th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932279577 NPPES
Texas MEDICAID 1668931-01

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