Maxwell, Michael W.

Maxwell, Michael W. is an individual health care provider with primary practice located at 2401 S 31St St , Temple TX 76508-1208. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Maxwell, Michael W. can be contacted via phone (254) 724-2111.

Contact Information

Primary practice address
2401 S 31St St Temple TX 76508-1208
Phone: (254) 724-2111
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X J8661 Texas
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X J8661 Texas

Profile Details

NPI number 1588659429
LBN Legal business name Maxwell, Michael W.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 16th, 2005
Last updated Jan 28th, 2022 - about 2 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 1588659429 NPPES
Texas MEDICAID 134279208
Texas MEDICAID 134279205
Texas Other 930048391

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