Wanda Jeanne Michaels Md Pa

LBN: Wanda Jeanne Michaels Md Pa
Wanda Jeanne Michaels Md Pa is an health care organization with primary practice located at 13646 Fm 849 , Lindale TX 75771-5052. The organization recently has 12 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Allopathic & Osteopathic Physicians / Allergy & Immunology, Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine, Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Forensic Psychiatry, Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Geriatric Psychiatry, Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / General Practice, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Allopathic & Osteopathic Physicians / Psychiatry is the primary health care specialty. Wanda Jeanne Michaels Md Pa can be contacted via phone (800) 689-1527, or through Michaels, Wanda Jeanne via phone (800) 689-1527.

Contact Information

Primary practice address
13646 Fm 849 Lindale TX 75771-5052
Phone: (800) 689-1527
Fax: (800) 689-1527
Website:
Map and Directions
Authorized official contact:
Name: Michaels, Wanda Jeanne Doctor of Medicine (MD)
Phone: (800) 689-1527

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X J4922 Texas
Allopathic & Osteopathic Physicians / Allergy & Immunology 207RA0201X J4922 Texas
Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine 2083P0901X J4922 Texas
Allopathic & Osteopathic Physicians / Addiction Medicine 2084A0401X J4922 Texas
Allopathic & Osteopathic Physicians / Forensic Psychiatry 2084F0202X J4922 Texas
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X J4922 Texas
Allopathic & Osteopathic Physicians / Geriatric Psychiatry 2084P0805X J4922 Texas
Allopathic & Osteopathic Physicians / Pain Medicine 2084P2900X J4922 Texas
Allopathic & Osteopathic Physicians / General Practice 208D00000X J4922 Texas
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X J4922 Texas
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X J4922 Texas
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X J4922 Texas

Profile Details

NPI number 1720011091
LBN Legal business name Wanda Jeanne Michaels Md Pa
DBA Doing business as
Authorized official Michaels, Wanda Jeanne Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 9th, 2006
Last updated Jun 14th, 2016 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720011091 NPPES
Texas MEDICAID 1774069

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