1902937758 NPI number — DR. MICHAEL WESLEY CURRY DDS, MS

Table of content: DEREK A HAGEN DO (NPI 1184689465)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1902937758 NPI number — DR. MICHAEL WESLEY CURRY DDS, MS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
CURRY
Provider First Name:
MICHAEL
Provider Middle Name:
WESLEY
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
DDS, MS
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1902937758
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3604 PRESTON RD
Provider Second Line Business Mailing Address:
SUITE 500
Provider Business Mailing Address City Name:
PLANO
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
75093-8629
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
972-596-2917
Provider Business Mailing Address Fax Number:
972-612-9572

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3604 PRESTON RD
Provider Second Line Business Practice Location Address:
SUITE 500
Provider Business Practice Location Address City Name:
PLANO
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
75093-8629
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
972-596-2917
Provider Business Practice Location Address Fax Number:
972-612-9572
Provider Enumeration Date:
03/07/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 1223X0400X , with the licence number:  10037 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: OOEB80 . This is a "BCBS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 656551 . This is a "UNITED CONCORDIA" identifier . This identifiers is of the category "OTHER".




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