Mack, Michael J.
Mack, Michael J. is an individual health care provider with primary practice located at 4708 Alliance Blvd Suite 700, Pavillion I, Plano TX 75093-5340. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Mack, Michael J. can be contacted via phone (972) 596-6676.Contact Information
Primary practice address
4708 Alliance Blvd Suite 700, Pavillion I
Plano TX 75093-5340
Phone: (972) 596-6676
Fax: (972) 596-7078
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | F6018 | Texas |
Profile Details
| NPI number | 1376531913 |
|---|---|
| LBN Legal business name | Mack, Michael J. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 7th, 2005 |
| Last updated | Sep 28th, 2012 - 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 | 1376531913 | NPPES |
| Texas | MEDICAID | 115911305 |
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