Phy, Michael P.

Phy, Michael P. is an individual health care provider with primary practice located at 3601 4Th St , Lubbock TX 79430-9410. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Phy, Michael P. can be contacted via phone (806) 743-3150.

Contact Information

Primary practice address
3601 4Th St Lubbock TX 79430-9410
Phone: (806) 743-3150
Fax: (806) 743-3168
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X K5662 Texas

Profile Details

NPI number 1497744767
LBN Legal business name Phy, Michael P.
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 19th, 2005
Last updated Nov 10th, 2021 - about 5 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 1497744767 NPPES
Oklahoma MEDICAID 100149890A
Oklahoma MEDICAID 68807
Oklahoma Other A451
Oklahoma MEDICAID 66398
Oklahoma Other 68807
Oklahoma Other 84304Z
Oklahoma Other 88178G
Oklahoma MEDICAID 118516701
Oklahoma MEDICAID 121479101
Oklahoma Other 121479103

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