Organization
MICHAEL J WILLENBORG MD PA
Active
Organization
MICHAEL J WILLENBORG MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL JOSEPH WILLENBORG M.D. (M.D.)
(972) 420-1776
Entity
Organization
Contact information
Practice address
5000 LONG PRAIRIE RD, FLOWER MOUND, TX 75028-2783
(972) 420-1776
(972) 436-6996
Mailing address
5000 LONG PRAIRIE RD, FLOWER MOUND, TX 75028-2783
(972) 420-1776
(972) 436-6996
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
L3525
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0076NZ
BLUECROSS
TX
05
—
185164401
—
TX
01
—
DN0755
RAILROAD MEDICARE
TX
Enumeration date
01/11/2007
Last updated
10/14/2021
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