Individual
MR. MICHAEL BLAINE MYERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
541 W MAIN ST, SUITE 150, LEWISVILLE, TX 75057-3628
(972) 420-8500
Mailing address
3256 SAILMAKER LN, PLANO, TX 75023-3609
(214) 227-0208
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA05007
TX
Other
Enumeration date
11/17/2006
Last updated
07/08/2007
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