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Individual

MR. ANTHONY SAM MICHELS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPT

Contact information

Practice address
4401 LONG PRAIRIE RD, STE 300, FLOWER MOUND, TX 75028-1794
(972) 691-1331
(972) 691-1731
Mailing address
4401 LONG PRAIRIE RD, STE 300, FLOWER MOUND, TX 75028-1794
(972) 691-1331
(972) 691-1731

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1116259
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
83594T
BCBS
TX
Enumeration date
03/11/2006
Last updated
03/27/2015
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