# MICHAEL J WILLENBORG MD PA

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

## Provider details

- **NPI number:** 1972655363
- **Authorized official:** MICHAEL JOSEPH WILLENBORG M.D. (M.D.)
- **Authorized official phone:** (972) 420-1776

## Contact information

- **Practice address:** 2960 LONG PRAIRIE RD, FLOWER MOUND, TX 75022-4845
- **Practice address phone:** (972) 420-1776
- **Practice address fax:** (972) 436-6996
- **Mailing address:** 2960 LONG PRAIRIE RD, FLOWER MOUND, TX 75022-4845
- **Mailing address phone:** (972) 420-1776
- **Mailing address fax:** (972) 436-6996

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | L3525 | TX | Yes |

## Other

- **Enumeration date:** 01/17/2007
- **Last updated:** 08/22/2020