Individual
DR. MIGUEL ANGEL MERCADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
506 GRAHAM DR STE 150, TOMBALL, TX 77375-3346
(281) 351-5174
(281) 381-5172
Mailing address
PO BOX 911230, DALLAS, TX 75391-1230
(972) 997-8000
(972) 234-0813
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
BP10034440
TX
208800000X
Urology Physician
Primary
P8603
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
346776301
—
TX
05
—
346776302
—
TX
01
—
P01626906
RAILROAD MEDICARE
TX
Enumeration date
04/15/2010
Last updated
05/09/2016
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