Individual
MICHAEL TANKERSLEY FITZPATRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
511 OAKWOOD BLVD, SUITE 301, ROUND ROCK, TX 78681-4068
(512) 244-3698
(512) 244-0214
Mailing address
511 OAKWOOD BLVD, SUITE 301, ROUND ROCK, TX 78681-4068
(512) 244-3698
(512) 244-0214
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
G5045
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114473504
—
TX
Enumeration date
02/05/2007
Last updated
12/02/2013
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