Provider Demographics
NPI:1407934797
Name:MCFARLAND, MICHAEL ALLEN (MD)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:ALLEN
Last Name:MCFARLAND
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 1:1105 OAK ST
Mailing Address - Street 2:SUITE A
Mailing Address - City:JOURDANTON
Mailing Address - State:TX
Mailing Address - Zip Code:78026-2100
Mailing Address - Country:US
Mailing Address - Phone:830-769-2181
Mailing Address - Fax:830-769-2858
Practice Address - Street 1:1105 OAK ST STE A
Practice Address - Street 2:
Practice Address - City:JOURDANTON
Practice Address - State:TX
Practice Address - Zip Code:78026-2117
Practice Address - Country:US
Practice Address - Phone:830-769-2181
Practice Address - Fax:830-769-2858
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-02
Last Update Date:2018-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG8271207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00DN90OtherMEDICARE
TX135520801Medicaid
TX080456601OtherMEDICARE RAILROAD
TX00DN90OtherBLUE CROSS BLUE SHEILD