Joel Mickail

NPI #1164742946 in Lake Jackson, Texas

Provider Information

NPI Number: 1164742946
Entity Type: Individual
Name: Joel Mickail
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Enumeration Date: Jun 3, 2010
Last Updated: Jul 18, 2010

Practice Location

Address: 100 MEDICAL DR
City: Lake Jackson
State: Texas
ZIP Code: 77566-5674
Phone: (979) 285-1984

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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