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Organization
MICHAEL L. MCCULLOUGH MD PA
Active
Organization
MICHAEL L. MCCULLOUGH MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL L MCCULLOUGH M.D. (PRESIDENT)
(214) 265-8646
Entity
Organization
Contact information
Practice address
8411 PRESTON RD, #200, DALLAS, TX 75225-5523
(214) 265-8646
(214) 361-1939
Mailing address
8411 PRESTON RD, #200, DALLAS, TX 75225-5523
(214) 265-8646
(214) 361-1939
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D0965
TX
Other
Enumeration date
07/24/2007
Last updated
07/24/2007
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