Bumagin, Michael S
Bumagin, Michael S is an sole proprietor health care provider with primary practice located at 6701 Blair Court , Benbrook TX 76132. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as his primary health care specialty. Bumagin, Michael S can be contacted via phone (817) 763-0832.Contact Information
Primary practice address
6701 Blair Court
Benbrook TX 76132
Phone: (817) 763-0832
Fax: (817) 763-0832
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Plastic Surgery | 208200000X | D5695 | Texas |
Profile Details
| NPI number | 1548241391 |
|---|---|
| LBN Legal business name | Bumagin, Michael S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 9th, 2005 |
| Last updated | Jun 28th, 2016 - about 8 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 | 1548241391 | NPPES |
| Texas | MEDICAID | 1261430-04 |
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