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Individual

MICHAEL A AINSWORTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
301 UNIVERSITY BLVD, GALVESTON, TX 77555-5302
(409) 772-2222
Mailing address
301 UNIVERSITY BLVD, GALVESTON, TX 77555-5302
(409) 772-2222

Taxonomy

Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
F9125
TX
207R00000X
Internal Medicine Physician
F9125
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
117170401
TX
Enumeration date
12/07/2006
Last updated
05/15/2009
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