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Individual

MICHAEL R MACADAMS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2716 82ND ST, LUBBOCK, TX 79423-1428
(806) 793-4440
(806) 793-4452
Mailing address
PO BOX 53487, LUBBOCK, TX 79453-3487
(806) 793-4440
(806) 793-4452

Taxonomy

Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
J6163
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0040KH
BCBS
TX
01
100201111
FIRST CARE
TX
05
132193708
TX
01
P00089245
RAILROAD MEDICARE
TX
Enumeration date
12/05/2006
Last updated
03/09/2011
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