Individual
MICHAEL PRESTON UNDERBRINK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
915 GESSNER RD STE 280, HOUSTON, TX 77024
(713) 461-2626
(713) 984-1703
Mailing address
14140 SOUTHWEST FWY STE 200, SUGAR LAND, TX 77478-3842
(281) 649-7000
(713) 484-6649
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
M6923
TX
207Y00000X
Otolaryngology Physician
MD00043509
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8392680
—
WA
01
—
P00477083
RR MCR PTAN
TX
Enumeration date
10/25/2006
Last updated
10/21/2019
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