Provider Demographics
NPI:1346371598
Name:MICHAEL J MAJORS MD PA
Entity Type:Organization
Organization Name:MICHAEL J MAJORS MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:MAJORS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:830-997-0898
Mailing Address - Street 1:95 E HIGHWAY ST
Mailing Address - Street 2:
Mailing Address - City:FREDERICKSBURG
Mailing Address - State:TX
Mailing Address - Zip Code:78624-5132
Mailing Address - Country:US
Mailing Address - Phone:830-997-0898
Mailing Address - Fax:830-997-6016
Practice Address - Street 1:95 E HIGHWAY ST
Practice Address - Street 2:
Practice Address - City:FREDERICKSBURG
Practice Address - State:TX
Practice Address - Zip Code:78624-5132
Practice Address - Country:US
Practice Address - Phone:830-997-0898
Practice Address - Fax:830-997-6016
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-08
Last Update Date:2007-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ8653207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0077KCOtherBLUE CROSS BLUE SHIELD
TX0077KCOtherBLUE CROSS BLUE SHIELD