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Individual

MICHAEL TRUITT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
122 W COLORADO BLVD, DALLAS, TX 75208-2382
(214) 947-6700
(214) 947-6701
Mailing address
122 W COLORADO BLVD, DALLAS, TX 75208-2382
(214) 947-6700
(214) 947-6701

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
M6431
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
186904202
TX
01
8BV503
BLUE CROSS
TX
Enumeration date
01/26/2007
Last updated
03/23/2022
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