Provider Demographics
NPI:1831519453
Name:ARRINGTON, MICHAEL
Entity type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:
Last Name:ARRINGTON
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 841656
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75284-1656
Mailing Address - Country:US
Mailing Address - Phone:903-531-5000
Mailing Address - Fax:
Practice Address - Street 1:800 E DAWSON ST
Practice Address - Street 2:
Practice Address - City:TYLER
Practice Address - State:TX
Practice Address - Zip Code:75701-2036
Practice Address - Country:US
Practice Address - Phone:903-606-4262
Practice Address - Fax:903-606-5970
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-22
Last Update Date:2017-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXR3263207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX75-0818167-051OtherTRICARE
TX373917901Medicaid
TX75-0818167-044OtherTRICARE
TX580147YS6POtherMEDICARE
TX75-1976930-005OtherTRICARE
TX75-0818167-015OtherTRICARE
TX75-0818167-048OtherTRICARE
TX580147YS6VOtherMEDICARE
TX373917902Medicaid
TX8GY023OtherBCBS
TXP01859525OtherMCRR
TXP01859534OtherMCRR