Michael P Humiston, LSA

NPI #1225568686 in Mansfield, Texas

Provider Information

NPI Number
1225568686
Entity Type
Individual
Name
Michael P Humiston, LSA
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Specialist/Technologist, Other - Surgical Assistant
Credential
LSA
Enumeration Date
Jun 18, 2017
Last Updated
Feb 6, 2023

Practice Location

Address
2700 E BROAD ST
State
Texas
ZIP Code
76063-5899
Phone
(214) 227-2457

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist, Other - Surgical AssistantSurgical Assistant

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