Individual
MICHAEL L. MYCOSKIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
800 ORTHOPEDIC WAY, ARLINGTON, TX 76015-1629
(817) 375-5200
(817) 299-1708
Mailing address
PO BOX 120489, ARLINGTON, TX 76012-0489
(817) 375-5200
(817) 299-1708
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
E6539
TX
Other
Enumeration date
09/19/2005
Last updated
10/15/2007
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