NPI age
15 years
Enumerated 2011-03-15
● Active Type 2 · Organization
Michael R. McCullough, D.o., P.A.
Michael R. McCullough, D.o., P.A. is 1 of 4633 obstetrics & gynecology organizations in Texas.
Primary specialty
Obstetrics & Gynecology
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
McCullough
Physician
Last NPPES update
2011-03-15
Source: monthly bulk 2026-05
How this organization compares
Across 4633 active obstetrics & gynecology providers in Texas.
NPI age
15 years
↓ 3 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2011 → 2026
2011-03Enumerated in NPPES
2011
2026
Where they practice
Primary practice location
643 S Great Southwest Pkwy, Suite 101
Grand Prairie, TX 750511056
Mailing address
643 S Great Southwest Pkwy, Suite 101
Grand Prairie, TX 750511056
Authorized official
Michael R. McCullough, D.O.
Physician
📞 9729881588
Individual providers at this organization
2 individual providers on file at this primary practice address.
- Michael McCullough, DO Obstetrics & Gynecology NPI 1932135704
- Ralph Wiegman, MD Obstetrics & Gynecology NPI 1508852310
Specialties
-
Obstetrics & Gynecology PrimaryAn 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...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 033519201 |
Practice context
Multi-provider organization. 2 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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