OrganizationMichael J Willenborg Md PaDurable Medical Equipment & Medical SuppliesSuppliersPractice Address2960 Long Prairie Rd, Flower Mound, TX 75022-4845(972) 420-1776PECOS EnrollmentBased on the most recent information from CMS, provider Michael J Willenborg Md Pa does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1972655363Provider TypeOrganizationFull NameMichael J Willenborg Md PaSubpartNoEnumeration Date1/17/2007Last Updated8/22/2020Contact InformationPractice LocationPractice Address2960 Long Prairie Rd, Flower Mound, TX 75022-4845Phone(972) 420-1776Fax(972) 436-6996Mailing LocationMailing Address2960 Long Prairie Rd, Flower Mound, TX 75022-4845Phone(972) 420-1776Fax(972) 436-6996Authorized OfficialNameWillenborg, Michael Joseph (M.D.)Phone(972) 420-1776Provider TaxonomiesCodeDescriptionLicenseCode332B00000XPrimaryDescriptionDurable Medical Equipment & Medical SuppliesSuppliersLicenseL3525Texas