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Individual
MR. MICHAEL DOUGLAS FIELDS JR.
Active
Individual
MR. MICHAEL DOUGLAS FIELDS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
7843
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002035601
—
TX
01
—
605821
BCBS
—
Enumeration date
10/27/2006
Last updated
07/01/2011
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