Individual
MICHAEL CARAWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3493 MOJAVE CANYON DR, COLLEGE STATION, TX 77845-4660
(713) 504-0870
Mailing address
3493 MOJAVE CANYON DR, COLLEGE STATION, TX 77845-4660
(713) 504-0870
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
K2660
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
128958909
—
TX
05
—
128958911
—
TX
01
—
8W7104
BCBS
TX
Enumeration date
07/14/2006
Last updated
04/08/2014
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