Individual
MICHELE T. MCDERMOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
12221 MOPAC EXPRESSWAY NORTH, AUSTIN, TX 78758-2483
(512) 901-4022
(512) 901-3922
Mailing address
12221 MOPAC EXPRESSWAY NORTH, AUSTIN, TX 78758-2483
(512) 901-4022
(512) 901-3922
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
G2187
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
133725504
—
TX
Enumeration date
03/17/2006
Last updated
07/05/2010
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