Provider Demographics
NPI:1851333785
Name:THORNTON, MICHAEL L (DO)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:L
Last Name:THORNTON
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:1301 E DEBBIE LN
Mailing Address - Street 2:STE 102-318
Mailing Address - City:MANSFIELD
Mailing Address - State:TX
Mailing Address - Zip Code:76063-3305
Mailing Address - Country:US
Mailing Address - Phone:817-477-9000
Mailing Address - Fax:817-887-5924
Practice Address - Street 1:1301 E DEBBIE LN
Practice Address - Street 2:STE 102-318
Practice Address - City:MANSFIELD
Practice Address - State:TX
Practice Address - Zip Code:76063-3305
Practice Address - Country:US
Practice Address - Phone:817-477-9000
Practice Address - Fax:817-887-5924
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-12
Last Update Date:2008-04-23
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
ARE-5028208600000X
TXL6673208600000X
GA060884208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery