Individual
MR. MICHAEL PHILIP GAINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
12407 N. MOPAC EXPRESSWAY, AUSTIN, TX 78758
(512) 339-6644
(512) 832-9128
Mailing address
12407 N. MOPAC EXPRESSWAY, AUSTIN, TX 78758
(512) 339-6644
(512) 832-9128
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
34240
TX
Other
Enumeration date
04/04/2008
Last updated
12/02/2020
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