Individual
DR. MICHAEL ROBERT MIGDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1515 HOLCOMBE BLVD, HOUSTON, TX 77030-4095
(713) 792-6161
Mailing address
PO BOX 4439, HOUSTON, TX 77210-4439
(713) 792-2991
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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