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Organization
MICHAEL J KACAL PC
Active
Organization
MICHAEL J KACAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL JOHN KACAL PA-C (CEO)
(817) 219-0148
Entity
Organization
Contact information
Practice address
7014 KACAL RD, BEASLEY, TX 77417-9740
(817) 219-0148
Mailing address
7014 KACAL RD, BEASLEY, TX 77417-9740
(817) 219-0148
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA03371
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2242884
UNITED HEALTHCARE
TX
01
—
8N4110
BCBS
TX
01
—
9B847A
HEALTHSMART
TX
01
—
P00137141
MEDICARE RAILROAD
TX
Enumeration date
02/06/2016
Last updated
04/18/2019
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