Individual
DR. MICHAEL ROBERT MIGDEN
Active
Individual
DR. MICHAEL ROBERT MIGDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
L7811
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
181264601 (MDACC)
—
TX
05
—
181264602
—
TX
01
—
181264603
CSHCN
TX
01
—
8G7804
BCBSTX-UCP
TX
01
—
8S0059
BCBS (MDACC)
TX
01
—
P00447091
RR MEDICARE (MDACC)
TX
Enumeration date
06/07/2006
Last updated
03/27/2012
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