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Individual

MICHAEL MYERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
209 SPEIGHT AVE, WACO, TX 76706-1507
(254) 710-1010
Mailing address
3701 LOOP RD, TUSCALOOSA, AL 35404-5015

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
01057729A
IN
2084P0800X
Psychiatry Physician
Primary
P9917
TX

Other

Enumeration date
07/14/2006
Last updated
09/20/2023
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