Michael L. Mycoskie
Orthopaedic Surgeon
800 Orthopedic Way
Arlington
, Texas 76015-1629
Michael L. Mycoskie
Orthopaedic Surgeon
800 Orthopedic Way
Arlington
, Texas 76015-1629
(817) 299-1708
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About
Features
Specialties
- Orthopaedic Surgeon
Languages spoken
- English
Location
First Address
- Michael L. Mycoskie
- Po Box 120489
- Arlington, TX
- Zip : 76012-0489
- Fax : (817) 299-1708
- Phone : (817) 375-5200
Second Address
- Michael L. Mycoskie
- 800 Orthopedic Way
- Arlington, TX
- Zip : 76015-1629
- Fax : (817) 299-1708
- Phone : (817) 375-5200
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgeon | E6539 | TX |
National Provider Identifier
| NPI | 1023003878 |
|---|---|
| Provider Name | Michael L. Mycoskie |
| First Address | Arlington, TX 76012-0489 |
| Second Address | Arlington, TX 76015-1629 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/09/2005 |
| Last Update Date | 15/10/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| B25055 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.