# MICHAEL ARCHULETA MD PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477539955
- **Authorized official:** MICHAEL ARCHULETA MD (PRESIDENT)
- **Authorized official phone:** (512) 266-7676

## Contact information

- **Practice address:** 1100 LAKEWAY DR, SUITE 101, LAKEWAY, TX 78734-4478
- **Practice address phone:** (512) 266-7676
- **Practice address fax:** (512) 266-4646
- **Mailing address:** PO BOX 340639, AUSTIN, TX 78734-0011
- **Mailing address phone:** (512) 266-7676
- **Mailing address fax:** (512) 266-4646

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/16/2005
- **Last updated:** 07/03/2008