Individual
MICHAEL S BUMAGIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6701 BLAIR COURT, BENBROOK, TX 76132
(817) 763-0832
(817) 763-0832
Mailing address
6701 BLAIR COURT, BENBROOK, TX 76132
(817) 763-0832
(817) 763-0832
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
D5695
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1261430-04
—
TX
Enumeration date
11/09/2005
Last updated
06/28/2016
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