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Organization

JAMES P MICHAELS MD PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
FRANCENE BELL R.N. CMOM (PRACTICE MGR.)
(903) 597-2508
Entity
Organization

Contact information

Practice address
1814 ROSELAND BLVD, SUITE 300, TYLER, TX 75701-4234
(903) 597-2508
(903) 535-2914
Mailing address
1814 ROSELAND BLVD, SUITE 300, TYLER, TX 75701-4234
(903) 597-2508
(903) 535-2914

Taxonomy

Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
K0525
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0049KV
BLUE CROSS BLUE SHIELD
TX
05
165794201
TX
01
DB0396
RAILROAD MEDICARE GROUP
TX
01
P00083929
RAILROAD MEDICARE INDIVIDUAL
Enumeration date
04/19/2007
Last updated
01/18/2011
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