Middlebrook, Michael R.

Middlebrook, Michael R. is an individual health care provider with primary practice located at 8401 Datapoint Dr Suite 600, San Antonio TX 78229-5900. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Middlebrook, Michael R. can be contacted via phone (210) 616-7700.

Contact Information

Primary practice address
8401 Datapoint Dr Suite 600 San Antonio TX 78229-5900
Phone: (210) 616-7700
Fax: (210) 616-7709
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X H6437 Texas
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X H6437 Texas

Profile Details

NPI number 1104893536
LBN Legal business name Middlebrook, Michael R.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 3rd, 2006
Last updated Apr 4th, 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 1104893536 NPPES
Texas Other H6437 TEXAS MEDICAL LICENSE
Texas MEDICAID 128928207 TEXAS MEDICAL LICENSE
Texas MEDICAID 1289282-08 TEXAS MEDICAL LICENSE
Texas MEDICAID 128928206 TEXAS MEDICAL LICENSE

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