Provider Demographics
NPI:1174529325
Name:TAURIAINEN, MIKKO PETER (MD)
Entity type:Individual
Prefix:DR
First Name:MIKKO
Middle Name:PETER
Last Name:TAURIAINEN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:515 W MAYFIELD RD STE 311
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76014-2085
Mailing Address - Country:US
Mailing Address - Phone:817-468-3471
Mailing Address - Fax:817-419-2512
Practice Address - Street 1:4716 ALLIANCE BLVD
Practice Address - Street 2:SUITE 470
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-5371
Practice Address - Country:US
Practice Address - Phone:972-941-3102
Practice Address - Fax:972-941-3101
Is Sole Proprietor?:No
Enumeration Date:2005-06-22
Last Update Date:2022-01-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXK34912086S0129X, 208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)
No2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
H07252Medicare UPIN
TXTXB153931Medicare PIN