Michael L. McCullough MD PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

D0965 Issued in TX

Legal business name

MICHAEL L. MCCULLOUGH MD PA

Practice address

8411 Preston Rd
#200
Dallas, TX 75225-5523

Phone

(214) 265-8646

Fax

(214) 361-1939

NPI assigned

Jul 24, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Michael L McCullough, M.D.

Title

President

Phone

(214) 265-8646

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1185235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185235200000",
    "number": "1073713376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8411 PRESTON RD",
            "address_2": "#200",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752255523",
            "telephone_number": "214-265-8646",
            "fax_number": "214-361-1939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8411 PRESTON RD",
            "address_2": "#200",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752255523",
            "telephone_number": "214-265-8646",
            "fax_number": "214-361-1939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL L. MCCULLOUGH MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-24",
        "last_updated": "2007-07-24",
        "status": "A",
        "authorized_official_last_name": "MCCULLOUGH",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-265-8646",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "D0965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Douglas Magee, MD, PA
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• Michael Taba MD PA

• Internal Medicine Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.