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1023003878
MICHAEL L. MYCOSKIE
ARLINGTON, TX
NPI
1023003878
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207X00000X Orthopaedic Surgery
(Licence: TX E6539)
Enumeration Date
2005-09-19
Last Update Date
2007-10-15
Business Address
-- MICHAEL L. MYCOSKIE M.D.
800 ORTHOPEDIC WAY
ARLINGTON, TX 76015-1629
Phone number: 817-375-5200
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Mailing Address
-- MICHAEL L. MYCOSKIE M.D.
PO BOX 120489
ARLINGTON, TX 76012-0489
Phone number: 817-375-5200
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