Provider Demographics
NPI:1003886789
Name:DEMPSEY, MICHAEL LEE (DPM)
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:LEE
Last Name:DEMPSEY
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:7390 BARLITE BLVD
Mailing Address - Street 2:SUITE 315
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78224-1337
Mailing Address - Country:US
Mailing Address - Phone:210-932-9474
Mailing Address - Fax:210-923-3374
Practice Address - Street 1:7500 BARLITE BLVD
Practice Address - Street 2:SUITE 311
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78224-1361
Practice Address - Country:US
Practice Address - Phone:210-572-9255
Practice Address - Fax:210-572-9256
Is Sole Proprietor?:No
Enumeration Date:2006-01-25
Last Update Date:2013-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1319213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX096452007Medicaid
TX8H9989OtherBCBS
TX096452005Medicaid
TXP01211714OtherRAILROAD MEDICARE
TXP01211714OtherRAILROAD MEDICARE
TX8H9989OtherBCBS
TX096452005Medicaid