Individual
ROBERT E MCMICHAEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1741 E BARDIN RD, ARLINGTON, TX 76018-4836
(817) 702-8700
Mailing address
2800 E BROAD ST, SUITE 504, MANSFIELD, TX 76063-6409
(817) 225-0410
(817) 419-0422
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
G4652
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
083092901
—
TX
05
—
128844102
—
TX
01
—
130010890
RAILROAD MEDICARE
TX
01
—
89M400
BLUE CROSS BLUE SHIELD
TX
Enumeration date
01/10/2007
Last updated
05/28/2024
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