Individual
MICHAEL A. PAGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
809 VANCE ST APT 111, TAYLOR, TX 76574-3281
(136) 121-9851
Mailing address
809 VANCE ST APT 111, TAYLOR, TX 76574-3281
(136) 121-9851
Taxonomy
Speciality
Code
Description
License number
State
2083S0010X
Sports Medicine (Preventive Medicine) Physician
Primary
AT7480
TX
Other
Enumeration date
06/29/2021
Last updated
06/29/2021
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