Van De Mae, Michele D

Van De Mae, Michele D is an individual health care provider with primary practice located at 1401 Medical Pkwy Bldg B Suite 220, Cedar Park TX 78613-7763. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is her primary health care specialty. Van De Mae, Michele D can be contacted via phone (512) 324-4083.

Contact Information

Primary practice address
1401 Medical Pkwy Bldg B Suite 220 Cedar Park TX 78613-7763
Phone: (512) 324-4083
Fax: (512) 324-4717
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X L9530 Texas
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X L9530 Texas

Profile Details

NPI number 1316978265
LBN Legal business name Van De Mae, Michele D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 6th, 2006
Last updated Feb 14th, 2012 - about 14 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 1316978265 NPPES
Texas Other 8G4623 BCBS
Texas Other P00219597 BCBS
Texas MEDICAID 168726103 BCBS
Texas MEDICAID 168726101 BCBS

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