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MICHAEL R. MCCULLOUGH, D.O., P.A.
NPI 1275832362
Obstetrics & Gynecology in Grand Prairie, TX

Active since March 15, 2011
643 S GREAT SOUTHWEST PKWY, SUITE 101, GRAND PRAIRIE, TX 75051(972) 602-0615 Get Directions Write a Review

NPPES record last updated: March 15, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Michael R. Mccullough, D.o., P.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHAEL R. MCCULLOUGH, D.O., P.A. (NPI 1275832362) is a healthcare organization registered as an obstetrics & gynecology in Grand Prairie, Texas and active in the NPI registry since March 2011. The organization lists Michael R. Mccullough, Physician, as its authorized official.

NPPES Registry Identity

NPI1275832362
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NameMICHAEL R. MCCULLOUGH, D.O., P.A.
Location Address643 S GREAT SOUTHWEST PKWY, SUITE 101Grand Prairie, TX 75051-1056
Mailing Address643 S Great Southwest Pkwy, Suite 101Grand Prairie, TX 75051-1056 · (972) 602-0615
Phone(972) 602-0615
Organization SubpartNo
Authorized OfficialMichael R. McculloughPhysician · (972) 988-1588
Enumeration DateMarch 15, 2011
✔ NPI 1275832362 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in TX · H9682
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
643 S GREAT SOUTHWEST PKWY, Grand Prairie, TX 75051
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Other Identifiers 2

Medicare UPIN00G74VTX
Medicaid033519201TX

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GREAT SOUTHWEST MEDICAL LLC
Clinic/Center (Health Service)
643 S GREAT SOUTHWEST PKWY, SUITE 104
GRAND PRAIRIE, TX 75051
Dallas County (214) 363-5400
RALPH THANE WIEGMAN MD
Obstetrics & Gynecology
643 S GREAT SOUTHWEST PKWY, STE 102
GRAND PRAIRIE, TX 75051
Dallas County (972) 647-0994
DR. MICHAEL REID MCCULLOUGH DO
Obstetrics & Gynecology (Obstetrics)
643 S GREAT SOUTHWEST PKWY, SUITE 101
GRAND PRAIRIE, TX 75051
Dallas County (972) 988-1588

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael R. Mccullough, D.O., P.A.'s NPI number?

The NPI number for Michael R. Mccullough, D.O., P.A. is 1275832362. It was assigned to this organization in the NPPES registry on March 15, 2011.

Where is Michael R. Mccullough, D.O., P.A. located?

Michael R. Mccullough, D.O., P.A. is located at 643 S Great Southwest Pkwy Suite 101, Grand Prairie, TX 75051. The listed phone number is (972) 602-0615.

What is Michael R. Mccullough, D.O., P.A.'s specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

When was this NPI record last updated?

The NPPES record for Michael R. Mccullough, D.O., P.A. was last updated on March 15, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.