Mark D Prince is a Gastroenterology in Tyler, Texas. Mark D Prince practices all healthcare services and medical treatments related to Gastroenterology. The NPI Number for Mark D Prince is 1629061171. The last update date is 2017-05-08.
Mark D Prince's current location address is 910 E Houston St Ste 470, Tyler, Texas. You can contact this provider via phone number 9035108718. The mailing address for Mark D Prince is 910 E Houston St Ste 470, Tyler, Texas. To know further, please read the information below!
Provider Profile Detail
Provider Name | Mark D Prince |
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Address | 910 E Houston St Ste 470, Tyler, Texas |
Phone Number | 9035108718 |
Fax Number | |
Sole Proprietor | N |
Credentials | MD |
NPI Number Detail
NPI Number | 1629061171 |
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Provider Enumeration Date | 2005-08-30 |
Last Updated Date | 2017-05-08 |
Provider Mailing Address Detail
Address | 910 E Houston St Ste 470 |
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City | Tyler |
State | Texas (TX) |
Post Code | 757028365 |
Phone Number | 9035108718 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Gastroenterology |
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Taxonomy | 207Rg0100X |
Licence No | 35969 |
Definition: An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and perf |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
338983501 | TX | -- | |
338983502 | TX | -- | |
75-2616977-054 | TX | TRICARE | |
P01812747 | TX | RAIL ROAD MEDICARE |
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What is the Mark D Prince's 1629061171?
The Mark D Prince's NPI (National Provider Identifier) Number is 1629061171. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Mark D Prince's physical address?
The Mark D Prince is physically located at 910 E Houston St Ste 470, in the city of Tyler, TX, with the postal code 757028365.
What is Mark D Prince's area of expertise and its corresponding taxonomy classification?
The Mark D Prince's field of specialization is Gastroenterology, and it falls under the taxonomy code 207Rg0100X, which categorizes healthcare providers based on their areas of practice.
When did the Mark D Prince receive its 1629061171?
The Mark D Prince was issued its 1629061171 on 2005-08-30, which is the date when the organization was assigned this unique identifier.
When was the information pertaining to Mark D Prince most recently updated or revised?
The details related to Mark D Prince, including its address, specialty, and other relevant information, were last updated or revised on 2017-05-08.