Individual
MICHAEL T. ANDREPONT-AYCOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA, PMHNP-C
Contact information
Practice address
5201 HARRY HINES BLVD, DEPT. OF ANESTHESIOLOGY, DALLAS, TX 75235-7708
(214) 590-8329
Mailing address
PO BOX 660599, DALLAS, TX 75266-0599
(214) 590-4105
(214) 590-4162
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
1200576
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
680898
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
150712101
—
TX
Enumeration date
07/13/2005
Last updated
03/02/2026
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