Individual
MICHAEL CUPAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1400 8TH AVE, FORT WORTH, TX 76104
(817) 926-2544
Mailing address
4 CROSSLANDS RD, BENBROOK, TX 76132-1007
(801) 404-1220
Taxonomy
Speciality
Code
Description
License number
State
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
R1942
TX
Other
Enumeration date
04/15/2014
Last updated
01/13/2023
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