Organization
MICHAEL L. BAILEY, D.O., P.A.
Active
Other names
Elite Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL L BAILEY DO (PRESIDENT)
(817) 562-2339
Entity
Organization
Contact information
Practice address
3418 N TARRANT PKWY STE 310, FORT WORTH, TX 76177-8645
(817) 562-2339
(817) 562-1342
Mailing address
3418 N TARRANT PKWY STE 310, FORT WORTH, TX 76177-8645
(817) 562-2339
(817) 562-1342
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QP2300X
Primary Care Clinic/Center
Primary
K5446
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
130929605
—
TX
05
—
201660201
—
TX
05
—
201660202
—
TX
Enumeration date
01/13/2009
Last updated
01/11/2023
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