NPI Registry.org

Michael Anthony

NPI Registration Record

Provider / OrganizationNPIDate Certified
MICHAEL ANTHONY14872563842020-11-15
Entity TypeIndividual
Provider Name Michael Anthony
Practice Office Address3214 ROSE HILL LN
BRYAN, TX US
Practice Office Telephone9797779068
Practice Office Fax9794588294
Mailing Address3214 ROSE HILL LN
BRYAN, TX 778081475 US
Business Telephone9797779068
Business Fax9794588294
HPT Codes
CodeLicense NoState
183500000X PRIMARY35865 TX
193400000X SINGGroup Code
OPI Codes

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