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Individual
MICHAEL P. PHY
Active
Individual
MICHAEL P. PHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
K5662
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100149890A
—
OK
05
—
118516701
—
TX
05
—
121479101
—
TX
01
—
121479103
FIRSTCARE COMMERCIAL
TX
05
—
66398
—
NM
01
—
68807
PRESBYTERIAN COMMERCIAL
NM
05
—
68807
—
NM
01
—
84304Z
HMO BLUE
TX
01
—
88178G
BC/BS
TX
01
—
A451
TRIWEST
NM
Enumeration date
10/19/2005
Last updated
11/10/2021
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