Fitzpatrick, Michael Tankersley

Fitzpatrick, Michael Tankersley is an individual health care provider with primary practice located at 511 Oakwood Blvd Suite 301, Round Rock TX 78681-4068. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Fitzpatrick, Michael Tankersley can be contacted via phone (512) 244-3698.

Contact Information

Primary practice address
511 Oakwood Blvd Suite 301 Round Rock TX 78681-4068
Phone: (512) 244-3698
Fax: (512) 244-0214
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X G5045 Texas

Profile Details

NPI number 1366581670
LBN Legal business name Fitzpatrick, Michael Tankersley
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 5th, 2007
Last updated Dec 2nd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366581670 NPPES
Texas MEDICAID 114473504

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