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Dr. Michael John Kacal, PA-C
Medical Physician Assistant in Lubbock, Texas
NPI 1669443727

Michael John Kacal is a Medical Physician Assistant based in Lubbock, TX and is specialized in Medical. Michael John Kacal practices in Lubbock, TX and has the professional credentials of PA-C. The NPI Number for Michael John Kacal is 1669443727 and holds a License No. PA03371 (Texas).

The current practice location address for Michael John Kacal is 6001 34Th St Spc 164, Lubbock, TX and can be reached out via phone at 817-219-0148. You can also correspond with Michael John Kacal through the mailing address at 6001 34TH ST SPC 164, LUBBOCK, TX - 79407-3106 (mailing address contact number: 817-219-0148).

Location: 6001 34Th St Spc 164, Lubbock, TX, 79407-3106
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Provider Profile Details
NPI Number
1669443727
Provider Name
Michael John Kacal
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
6001 34Th St Spc 164, Lubbock, TX, 79407-3106
Phone Number
817-219-0148
Fax Number
Provider Enumeration Date
01/27/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
9B847A 01 TX HEALTHSMART PPO
2242884 01 TX UNITEDHEALTHCARE
P00137141 01 TX MEDICARE RAILROAD
8N4110 01 TX BC/BS
institution
Provider Business Practice Location Address Details
Address
6001 34Th St Spc 164
City
State
Zip
79407-3106
Phone Number
817-219-0148
Fax Number
person
Provider Business Mailing Address Details
Address
6001 34Th St Spc 164
City
State
Zip
79407-3106
Phone Number
817-219-0148
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA03371 (Texas)
Definition
Definition to come...
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