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Organization
MICHAEL D MIXON MDPA
Active
Organization
MICHAEL D MIXON MDPA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL D MIXON MD (PRESIDENT)
(214) 703-3764
Entity
Organization
Contact information
Practice address
1213 DARTMOUTH CIR, MURPHY, TX 75094-4112
(214) 703-3764
Mailing address
PO BOX 941, WYLIE, TX 75098-0941
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
J1317
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
098970901
—
TX
Enumeration date
08/05/2011
Last updated
04/27/2012
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