MR. Michael L. Bishop, GRADUATING MEDICAL S

NPI #1235783283 in Nacodoches, Texas

Provider Information

NPI Number: 1235783283
Entity Type: Individual
Name: MR. Michael L. Bishop, GRADUATING MEDICAL S
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Credential: GRADUATING MEDICAL S
Enumeration Date: Jul 29, 2019
Last Updated: Jul 29, 2019

Practice Location

Address: 1303 N. MOUND STREET
City: Nacodoches
State: Texas
ZIP Code: 75961
Phone: (409) 837-2468

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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