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Individual

DR. MICHAEL SLOAN MACKELVIE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
15655 CYPRESS WOOD MEDICAL DR STE 100, HOUSTON, TX 77014-1487
(713) 442-1700
Mailing address
11511 SHADOW CREEK PKWY, PEARLAND, TX 77584-7298
(713) 442-0000

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
R6615
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
389401601
TX
05
389401602
TX
05
389401603
TX
Enumeration date
03/27/2014
Last updated
06/11/2021
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