Provider Demographics
NPI:1710035407
Name:HOWE, MICHAEL W (DC)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:W
Last Name:HOWE
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:217 E CAMP WISDOM RD
Mailing Address - Street 2:STE D
Mailing Address - City:DUNCANVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75116-2703
Mailing Address - Country:US
Mailing Address - Phone:972-296-6173
Mailing Address - Fax:972-296-6192
Practice Address - Street 1:217 E CAMP WISDOM RD
Practice Address - Street 2:STE D
Practice Address - City:DUNCANVILLE
Practice Address - State:TX
Practice Address - Zip Code:75116-2703
Practice Address - Country:US
Practice Address - Phone:972-296-6173
Practice Address - Fax:972-296-6192
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-08
Last Update Date:2010-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXTX3030111NX0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NX0800XChiropractic ProvidersChiropractorOrthopedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXT13931Medicare UPIN
TX601311Medicare ID - Type UnspecifiedMEDICARE