| Organization Name: | MICHAEL L. BAILEY, D.O., P.A. |
| NPI Number: | 1194962191 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MICHAEL L BAILEY (PRESIDENT) |
| Mailing Address: | 202 Sw 25th Avenue Suite 1200 Mineral Wells |
| State: | TX US |
| Postal Code: | 760678298 |
| Phone Number: | 9403253706 |
| Fax Number: | 9403256200 |
| NPI Enumeration Date: | 01/13/2009 |
| NPI Last Update Date: | 11/30/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2300X |
| License Number: | K5446 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |