Provider Demographics
NPI:1588689301
Name:ENGLAND, MICHAEL J (MD)
Entity type:Individual
Prefix:
First Name:MICHAEL
Middle Name:J
Last Name:ENGLAND
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 961205
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76161-1205
Mailing Address - Country:US
Mailing Address - Phone:817-740-8400
Mailing Address - Fax:817-924-3222
Practice Address - Street 1:1250 8TH AVENUE
Practice Address - Street 2:SUITE 330
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76104-4148
Practice Address - Country:US
Practice Address - Phone:817-923-5559
Practice Address - Fax:817-924-3222
Is Sole Proprietor?:No
Enumeration Date:2006-07-13
Last Update Date:2013-09-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXK6577207VG0400X, 207VF0040X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
No207VF0040XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyUrogynecology and Reconstructive Pelvic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX047602002Medicaid
110245600OtherRAILROAD MEDICARE