| Doctor Name: | DR. MICHAEL SHAWN HOUSTON |
| NPI Number: | 1619195195 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 25279 |
| Business Practice Address: | Hwy 39 Lexington, OK - 73051 |
| Business Phone Number: | 4055275676 |
| Business Fax Number: | |
| Mailing Address: | 725 Sw 156th St, OKLAHOMA CITY |
| State: | OK |
| Postal Code: | 731707615 |
| Phone Number: | 4057033059 |
| Fax Number: | |
| NPI Enumeration Date: | 04/23/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 25279 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OK |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |