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Contact Information

WANDA JEANNE MICHAELS MD PA
13646 FM 849
LINDALE, TX75771-5052
 Phone: 800-689-1527
 Fax: 800-689-1527
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
 

Addiction (Substance Use Disorder)

101YA0400X
 

Addiction Medicine

2084A0401X 79 Physician/Addiction Medicine
 

Adult Health

363LA2200X 50 Nurse Practitioner
 

Allergy & Immunology

207RA0201X 11 Physician/Internal Medicine
 

Forensic Psychiatry

2084F0202X 86 Physician/Neuropsychiatry
 

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
 

Geriatric Psychiatry

2084P0805X 86 Physician/Neuropsychiatry
 

Pain Medicine

2084P2900X 86 Physician/Neuropsychiatry
 

Physician Assistant

363A00000X 97 Physician Assistant
 

Psychiatric/Mental Health

363LP0808X 50 Nurse Practitioner
 

Public Health & General Preventive Medicine

2083P0901X 84 Physician/Preventive Medicine
Indicates primary specialty

NPI Profile & details for WANDA JEANNE MICHAELS MD PA

NPI # 1720011091
LBN Legal business name WANDA JEANNE MICHAELS MD PA
Authorized official WANDA MICHAELS - (MEDICAL DIRECTOR/OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/09/2006
Last updated 06/14/2016 - About 10 years ago
Identifiers
TX License # J4922
TX Medicaid 1774069
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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