Individual
MICHAEL RAY MAHLMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6431 FANNIN ST, SUITE 2.130B, HOUSTON, TX 77030-1501
(713) 500-7583
Mailing address
6431 FANNIN ST, SUITE 2.130B, HOUSTON, TX 77030-1501
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
BP20039270
TX
2085R0202X
Diagnostic Radiology Physician
P5104
TX
208D00000X
General Practice Physician
P5104
TX
Other
Enumeration date
08/12/2012
Last updated
01/09/2013
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