Provider Demographics
NPI:1235230228
Name:MAPP, MICHAEL W (MD)
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:W
Last Name:MAPP
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:MICHAEL
Other - Middle Name:W
Other - Last Name:MAPP
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 420430
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77242-0430
Mailing Address - Country:US
Mailing Address - Phone:713-651-9323
Mailing Address - Fax:713-651-0099
Practice Address - Street 1:2000 CRAWFORD ST
Practice Address - Street 2:SUITE 842
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77002-9000
Practice Address - Country:US
Practice Address - Phone:713-651-9323
Practice Address - Fax:713-651-0099
Is Sole Proprietor?:No
Enumeration Date:2006-09-25
Last Update Date:2008-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK7331207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8128MOOtherBCBS OF TEXAS
TXK7331OtherMEDICAL LICENSE
TXG34813Medicare UPIN