Provider Demographics
NPI:1033328240
Name:MICHAEL P. MACRIS, M.D. P.A.
Entity Type:Organization
Organization Name:MICHAEL P. MACRIS, M.D. P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:PETER
Authorized Official - Last Name:MACRIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-465-7979
Mailing Address - Street 1:1631 NORTH LOOP W STE 240
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77008-1548
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1631 NORTH LOOP W STE 240
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77008-1548
Practice Address - Country:US
Practice Address - Phone:713-465-7979
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG9685208G00000X
TXSA0045246XC2903X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)Group - Single Specialty
Not Answered246XC2903XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist CardiovascularVascular SpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00168RMedicare ID - Type Unspecified
TXG9685Medicare UPIN