Maris, Michael L.

Maris, Michael L. is an individual health care provider with primary practice located at 9 Medical Parkway #105, Dallas TX 75234-7852. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Procedural Dermatology. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Maris, Michael L. can be contacted via phone (972) 243-4530.

Contact Information

Primary practice address
9 Medical Parkway #105 Dallas TX 75234-7852
Fax: (972) 406-1950
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X E4506 Texas
Allopathic & Osteopathic Physicians / Procedural Dermatology 207NS0135X E4506 Texas

Profile Details

NPI number 1225104672
LBN Legal business name Maris, Michael L.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 28th, 2006
Last updated May 28th, 2009 - about 15 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 1225104672 NPPES
Texas Other D28C GROUP BCBS
Texas Other 00D28C GROUP BCBS

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