Individual
MICHAEL DEWAYNE PRICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1900 PINE ST, ABILENE, TX 79601-2432
(325) 670-4220
(325) 670-4040
Mailing address
PO BOX 1198, ABILENE, TX 79604-1198
(325) 670-4220
(325) 670-4040
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
J3688
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
166752901
—
TX
05
—
166752903
—
TX
05
—
166752904
—
TX
01
—
8V0632
BCBSTX
TX
01
—
8X2410
BCBS IND # PAIN
TX
Enumeration date
10/18/2005
Last updated
04/21/2023
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