Bailey, Michael Lynn

Bailey, Michael Lynn is an individual health care provider with primary practice located at 3418 N Tarrant Pkwy Ste 310 , Fort Worth TX 76177-8645. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Bailey, Michael Lynn can be contacted via phone (817) 562-2339.

Contact Information

Primary practice address
3418 N Tarrant Pkwy Ste 310 Fort Worth TX 76177-8645
Phone: (817) 562-2339
Fax: (817) 562-1342
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X K5446 Texas

Profile Details

NPI number 1215931639
LBN Legal business name Bailey, Michael Lynn
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2005
Last updated Feb 8th, 2022 - about 2 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 1215931639 NPPES
Texas MEDICAID 201660202
Texas MEDICAID 130929606
Texas MEDICAID 130929614
Texas MEDICAID 130929605
Texas Other P01037952
Texas MEDICAID 201660201

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