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

NPI Information

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's business location address is:

4400 HERITAGE TRACE PKWY STE 204
FORT WORTH, TX
ZIP 76244-902
Phone: (817) 629-8310
Fax: (940) 325-6200

The provider's authorized official is Michael L Bailey .
The authorized official title is President and has the following contact phone number (817) 629-8310.

The enumeration date for this NPI number is 1/13/2009 and was last updated on 2/9/2022.

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:

Other Identifiers

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

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