Individual
MICHAEL C FITZPATRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1341 W MOCKINGBIRD LN, MOCKINGBIRD TOWERS, STE 710E, DALLAS, TX 75247-6913
(214) 217-7520
(214) 217-7530
Mailing address
PO BOX 580, ADDISON, TX 75001-0580
(972) 991-9950
(972) 991-4026
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
F7754
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0044HR
BCBC PROVIDER NUMBER
TX
Enumeration date
05/24/2005
Last updated
05/12/2008
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