Aycock, Michael T.
Aycock, Michael T. is an sole proprietor health care provider with primary practice located at 5201 Harry Hines Blvd Dept. Of Anesthesiology, Dallas TX 75235-7708. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Aycock, Michael T. can be contacted via phone (214) 590-8329.Contact Information
Primary practice address
5201 Harry Hines Blvd Dept. Of Anesthesiology
Dallas TX 75235-7708
Phone: (214) 590-8329
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | 680898 | Texas |
Profile Details
NPI number | 1033117882 |
---|---|
LBN Legal business name | Aycock, Michael T. |
Credentials | Certified Registered Nurse Anesthetist (CRNA) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jul 13th, 2005 |
Last updated | Jun 6th, 2013 - about 12 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 | 1033117882 | NPPES |
Texas | MEDICAID | 150712101 |
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