Individual
DR. MICHAEL ANTHONY MINADEO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2007 N JEFFERSON AVE, MOUNT PLEASANT, TX 75455-2336
(817) 784-0222
(903) 572-0213
Mailing address
3900 E MEXICO AVE STE 102, DENVER, CO 80210-3941
(720) 524-1001
(720) 524-1121
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G7852
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PO87X1006
—
TX
Enumeration date
11/15/2005
Last updated
04/21/2020
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