Provider Demographics
NPI:1114985496
Name:EMMETT, MICHAEL (MD)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:
Last Name:EMMETT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Last Name:
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Mailing Address - Street 1:3500 GASTON AVE
Mailing Address - Street 2:DEPARTMENT OF INTERNAL MEDICINE H-102
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75246-2096
Mailing Address - Country:US
Mailing Address - Phone:214-820-6202
Mailing Address - Fax:214-820-6385
Practice Address - Street 1:3500 GASTON AVE
Practice Address - Street 2:DEPARTMENT OF INTERNAL MEDICINE H-102
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75246-2096
Practice Address - Country:US
Practice Address - Phone:214-820-6202
Practice Address - Fax:214-820-6385
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXE6771207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology