Individual provider · Type 1 NPI

Michael L. Bishop, GRADUATING MEDICAL S

Student in an Organized Health Care Education/Training Program · Nacodoches, TX

NPI number 1235783283 Active

Practice location

1303 N. Mound Street
Nacodoches, TX 75961

Mailing address

684 Cr 785
Douglass, TX 75943

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

About NPI 1235783283

Michael L. Bishop, GRADUATING MEDICAL S's National Provider Identifier is 1235783283, issued on Jul 29, 2019. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Nacodoches, TX. The record was last updated on Jul 29, 2019.