Individual
MICHAEL TREVOR HOUSEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
6005 PARK AVE STE 802, MEMPHIS, TN 38119-5218
(901) 236-0508
(901) 682-2143
Mailing address
PO BOX 22403, BELFAST, ME 04915-4476
(888) 402-7256
(888) 902-1099
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
3903
TN
Other
Enumeration date
07/15/2019
Last updated
07/24/2025
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