Individual
MICHAEL A FALLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1720 MURCHISON DR, EL PASO, TX 79902-2921
(915) 533-7465
(915) 534-1289
Mailing address
1720 MURCHISON DR, EL PASO, TX 79902-2921
(915) 533-7465
(915) 534-1289
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
M6126
TX
208600000X
Surgery Physician
M6126
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
186020701
—
TX
05
—
25877054
—
NM
Enumeration date
10/26/2005
Last updated
10/02/2013
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