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Individual

MICHAEL P REGAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
6811 AUSTIN CENTER BLVD #300, AUSTIN, TX 78731-3166
(512) 346-8888
(512) 406-7321
Mailing address
PO BOX 26726, AUSTIN, TX 78755-0726
(512) 407-8686
(512) 406-6216

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
H7814
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
043403701
TX
05
043403702
TX
05
043403703
TX
Enumeration date
07/29/2006
Last updated
08/10/2015
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