NPI age
19 years
Enumerated 2006-06-24
● Active
Type 1 · Individual
DR. Michael Reid McCullough, DO
McCullough is 1 of 1 obstetrics & gynecology providers in Grand Prairie and 1 of 171 in Texas.
Primary specialty
Obstetrics & Gynecology
Plus 1 subspecialty
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2022-01-18
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 171 active obstetrics & gynecology providers in Texas.
NPI age
19 years
≈ at median (18 yr)
State licenses
1 state
7% of peers hold multiple states
Subspecialties
1
In the 31% of peers with subspecialties
NPI lifetime · 2006 → 2026
2006-06Enumerated in NPPES
2006
2026
Where they practice
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
Specialties
-
Obstetrics & Gynecology PrimaryA physician who specializes in diagnosis, treatment, and management of patients with obstetric conditions.
-
Obstetrics & GynecologyAn 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 | |
| 01 (TX) | 10028878 | AMERIGROUP ID |
| 05 (TX) | 1275832362 | |
| 01 (TX) | 4250747 | AETNA ID |
| 01 (TX) | G74V | BLUE CROSS BLUE SHIELD ID |
| 01 (TX) | 033519201 | TPI |
Practice context
Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.
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