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Individual

MICHAEL A FALLON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

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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