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Individual

DR. DOUGLAS BRIAN MICHAELS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3445 EXECUTIVE CENTER DR, STE 250, AUSTIN, TX 78731-1678
(512) 579-4000
(512) 222-0146
Mailing address
3445 EXECUTIVE CENTER DR, STE 250, AUSTIN, TX 78731-1678
(512) 579-4000
(512) 222-0146

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
F6952
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
129417504
TX
Enumeration date
08/10/2006
Last updated
09/26/2019
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