Individual
DR. MICHAEL ANTHONY MAGLIOLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2060 SPACE PARK DR STE 410, HOUSTON, TX 77058-3676
(281) 334-6875
(281) 334-0664
Mailing address
2060 SPACE PARK DR STE 410, HOUSTON, TX 77058-3676
(281) 334-6875
(281) 334-0664
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
E6133
TX
207VG0400X
Gynecology Physician
Primary
E6133
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
105811703
—
TX
05
—
105811704
—
TX
01
—
8FL150
BLUE CROSS BLUE SHIELD
TX
01
—
8FX367
BLUE CROSS BLUE SHIELD
TX
05
—
P08862321
—
TX
Enumeration date
07/12/2005
Last updated
08/15/2016
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