NPI Lookup
NPI Lookup from the NPI Registry — National Provider Identifier Database

Contact Information

MICHAEL A BLACK SR, P.A.-C
3600 DARNALL LOOP
CARL R. DARNALL ARMY MEDICAL CENTER
FORT HOOD, TX76544
 Phone: 254-286-7927
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for MICHAEL A BLACK SR · (Male)

NPI Number 1003007311
Status Active
Credentials P.A.-C
Entity Individual
Enumeration date 08/05/2007
Last updated 08/05/2007 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • WA License # PA10004010
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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