Van De Mae, Michele D
Van De Mae, Michele D is an individual health care provider with primary practice located at 1401 Medical Pkwy Bldg B Suite 220, Cedar Park TX 78613-7763. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is her primary health care specialty. Van De Mae, Michele D can be contacted via phone (512) 324-4083.Contact Information
Primary practice address
1401 Medical Pkwy Bldg B Suite 220
Cedar Park TX 78613-7763
Phone: (512) 324-4083
Fax: (512) 324-4717
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | L9530 | Texas |
Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | L9530 | Texas |
Profile Details
NPI number | 1316978265 |
---|---|
LBN Legal business name | Van De Mae, Michele D |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 6th, 2006 |
Last updated | Feb 14th, 2012 - about 12 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 | 1316978265 | NPPES |
Texas | Other | 8G4623 | BCBS |
Texas | Other | P00219597 | BCBS |
Texas | MEDICAID | 168726103 | BCBS |
Texas | MEDICAID | 168726101 | BCBS |
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