Coburn, Michael

Coburn, Michael is an individual health care provider with primary practice located at 6620 Main St Suite 1325, Houston TX 77030-2348. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hematology & Oncology, Allopathic & Osteopathic Physicians / Urology. Allopathic & Osteopathic Physicians / Urology is his primary health care specialty. Coburn, Michael can be contacted via phone (713) 798-4001.

Contact Information

Primary practice address
6620 Main St Suite 1325 Houston TX 77030-2348
Phone: (713) 798-4001
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X G4923 Texas
Allopathic & Osteopathic Physicians / Urology 208800000X G4923 Texas

Profile Details

NPI number 1881784536
LBN Legal business name Coburn, Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2006
Last updated Nov 13th, 2020 - about 5 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 1881784536 NPPES
Texas MEDICAID 130381002

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