Individual
MR. JAMES P MICHAELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3414 GOLDEN RD, TYLER, TX 75701-8336
(903) 939-7500
(800) 248-0426
Mailing address
3414 GOLDEN RD, TYLER, TX 75701-8336
(903) 939-7500
(800) 248-0426
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
K0525
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0049KV
BLUE CROSS GROUP #
TX
05
—
165794201
—
TX
01
—
200227003
TAX ID #
TX
01
—
DB0396
RAILROAD MEDICARE GROUP
TX
01
—
N0097455
DPS #
TX
01
—
P00083929
RAILROAD MEDICARE INDIVIDUAL
TX
Enumeration date
07/25/2006
Last updated
10/23/2022
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