Magliolo, Michael Anthony

Magliolo, Michael Anthony is an individual health care provider with primary practice located at 2060 Space Park Dr Ste 410 , Houston TX 77058-3676. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Gynecology. Allopathic & Osteopathic Physicians / Gynecology is his primary health care specialty. Magliolo, Michael Anthony can be contacted via phone (281) 334-6875.

Contact Information

Primary practice address
2060 Space Park Dr Ste 410 Houston TX 77058-3676
Phone: (281) 334-6875
Fax: (281) 334-0664
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X E6133 Texas
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X E6133 Texas

Profile Details

NPI number 1801894928
LBN Legal business name Magliolo, Michael Anthony
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2005
Last updated Aug 15th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801894928 NPPES
Texas MEDICAID 105811704
Texas Other 8FL150
Texas MEDICAID P08862321
Texas MEDICAID 105811703
Texas Other 8FX367

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