Provider Demographics
NPI:1881629970
Name:ASSEL, MICHAEL A (PHD)
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:A
Last Name:ASSEL
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6655 TRAVIS ST STE 880
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-1344
Mailing Address - Country:US
Mailing Address - Phone:713-500-3888
Mailing Address - Fax:713-500-3705
Practice Address - Street 1:6655 TRAVIS ST STE 880
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-1344
Practice Address - Country:US
Practice Address - Phone:713-500-3888
Practice Address - Fax:713-500-8289
Is Sole Proprietor?:No
Enumeration Date:2006-07-11
Last Update Date:2021-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX3-1387103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX041781801Medicaid
TX680013278OtherRAILROAD MEDICARE
TX83020POtherBCBS