MICHAEL J WILLENBORG MD PA
Suppliers at Long Prairie Rd, Lewisville, TX

License number
Texas L3525
Category
Suppliers
Type
Durable Medical Equipment & Medical Supplies
Owner
Name: MICHAEL JOSEPH WILLENBORG M.D.
Title: M.D.
Phone: (972) 420-1776
Address
Address
2960 Long Prairie Rd, Lewisville, TX 75022
National Provider ID: 1972655363
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Michael J. Willenborg, M.D., PA

Lewisville, TX

Doing business as:
Michael J. Willenborg, M.D., PA
Registration:
May 17, 2006
Addresses:
500 W Main St, Lewisville, TX 75057
5000 Long Pr Rd, Lewisville, TX 75028
State ID:
800656019
Business type:
Professional Association
President, Treasurer, Secretary, Member, Vice-President, Executive Committee:
Michael J. Willenborg (President, Treasurer, Secretary, Member, Vice-President, Executive Committee)

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