MICHAEL L. BAILEY D.O. P.A. NPI 1194962191

NPI Information

NPI: 1194962191
Provider Name: MICHAEL L. BAILEY, D.O., P.A.

Doing Business As: ELITE HEALTH CENTER

Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
3418 N TARRANT PKWY STE 310
FORT WORTH, TX
ZIP 76177
Phone: (817) 562-2339
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MICHAEL L. BAILEY, D.O., P.A. is a primary care clinic center in Fort Worth, TX. MICHAEL L. BAILEY, D.O., P.A. NPI is 1194962191. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Elite Health Center.

The provider's business location address is:

3418 N TARRANT PKWY STE 310
FORT WORTH, TX
ZIP 76177-645
Phone: (817) 562-2339
Fax: (817) 562-1342

The provider's authorized official is Michael L Bailey .
The authorized official title is President and has the following contact phone number (817) 562-2339.

The enumeration date for this NPI number is 1/13/2009 and was last updated on 1/11/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207Q00000X	Family Medicine				No
2	261QP2300X	Clinic/Center	Primary Care	K5446	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	201660202	MEDICAID	TEXAS
2	130929605	MEDICAID	TEXAS
3	201660201	MEDICAID	TEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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