Individual
MICHAEL TO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AA
Contact information
Practice address
1801 N OREGON ST, EL PASO, TX 79902-3524
(915) 521-1200
Mailing address
5900 BALCONES DR STE 100, AUSTIN, TX 78731-4298
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
789790222
TX
Other
Enumeration date
03/28/2024
Last updated
06/12/2024
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