Makary, Michael Mamdouh
Makary, Michael Mamdouh is an individual health care provider with primary practice located at 911 Medical Centre Dr Ste C , Arlington TX 76012-4758. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Critical Care Medicine. Allopathic & Osteopathic Physicians / Critical Care Medicine is his primary health care specialty. Makary, Michael Mamdouh can be contacted via phone (817) 461-0201.Contact Information
Primary practice address
911 Medical Centre Dr Ste C
Arlington TX 76012-4758
Phone: (817) 461-0201
Fax: (817) 861-3365
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | P3922 | Texas |
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 01081468A | Indiana |
Profile Details
| NPI number | 1225240955 |
|---|---|
| LBN Legal business name | Makary, Michael Mamdouh |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 4th, 2007 |
| Last updated | Feb 5th, 2019 - about 6 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 | 1225240955 | NPPES |
| Texas | MEDICAID | 304426501 |
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