Provider Demographics
NPI:1407891849
Name:MAJORS, MICHAEL JAMES (MD)
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:JAMES
Last Name:MAJORS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:753S WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:FREDERICKSBURG
Mailing Address - State:TX
Mailing Address - Zip Code:78624-5239
Mailing Address - Country:US
Mailing Address - Phone:830-992-3396
Mailing Address - Fax:
Practice Address - Street 1:753S WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:FREDERICKSBURG
Practice Address - State:TX
Practice Address - Zip Code:78624-5239
Practice Address - Country:US
Practice Address - Phone:830-992-3396
Practice Address - Fax:830-992-3538
Is Sole Proprietor?:No
Enumeration Date:2006-06-19
Last Update Date:2015-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ8653207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX045520603Medicaid
TX0077KCOtherBLUE CROSS BLUE SHIELD
TX045520603Medicaid
TX8A6646Medicare PIN