Mcinnis, Michael G
Mcinnis, Michael G is an individual health care provider with primary practice located at 252 Matlock Rd Suite 130, Mansfield TX 76063-6413. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Mcinnis, Michael G can be contacted via phone (817) 473-7184.Contact Information
Primary practice address
252 Matlock Rd Suite 130
Mansfield TX 76063-6413
Phone: (817) 473-7184
Fax: (817) 473-7186
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | L5834 | Texas |
Profile Details
| NPI number | 1033189956 |
|---|---|
| LBN Legal business name | Mcinnis, Michael G |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 24th, 2006 |
| Last updated | Jul 21st, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1033189956 | NPPES |
| Texas | MEDICAID | 159747801 |
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