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Dr. Michael Reid Mccullough, DO
Obstetrics & Gynecology Physician in Grand Prairie, Texas
NPI 1932135704

Michael Reid Mccullough is a Obstetrics & Gynecology Physician based in Grand Prairie, TX. Michael Reid Mccullough practices in Grand Prairie, TX and has the professional credentials of DO. The NPI Number for Michael Reid Mccullough is 1932135704 and holds a License No. H9682 (Texas).

The current practice location address for Michael Reid Mccullough is 643 S Great Southwest Pkwy, Grand Prairie, TX and can be reached out via phone at 972-988-1588 and via fax at 972-602-0615.

Location: 643 S Great Southwest Pkwy, Grand Prairie, TX, 75051-1056
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1932135704
Provider Name
Michael Reid Mccullough
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
643 S Great Southwest Pkwy, Grand Prairie, TX, 75051-1056
Phone Number
972-988-1588
Fax Number
972-602-0615
Provider Enumeration Date
06/24/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
033519201 05 TX
10028878 01 TX AMERIGROUP ID
1275832362 05 TX
4250747 01 TX AETNA ID
G74V 01 TX BLUE CROSS BLUE SHIELD ID
033519201 01 TX TPI
institution
Provider Business Practice Location Address Details
Address
643 S Great Southwest Pkwy
City
Grand Prairie
State
Texas
Zip
75051-1056
Phone Number
972-988-1588
Fax Number
972-602-0615
person
Provider Business Mailing Address Details
Address
643 S Great Southwest Pkwy
City
Grand Prairie
State
Texas
Zip
75051-1056
Phone Number
972-988-1588
Fax Number
972-602-0615
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
-
Taxonomy
207V00000X
License No.
H9682 (Texas)
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
Obstetrics
Taxonomy
207VX0000X
License No.
H9682 (Texas)
Definition
Definition to come...
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