Mark C. Wilde in Houston - Clinical Neurophysiology
Mark C. Wilde - NPI 1730148925
Mark C. Wilde is a Clinical Neurophysiology in Houston, Texas. Mark C. Wilde practices all healthcare services and medical treatments related to Clinical Neurophysiology. The NPI Number for Mark C. Wilde is 1730148925. The last update date is 2017-02-27.
Mark C. Wilde's current location address is 13300 Hargrave Rd, Houston, Texas. You can contact this provider via phone number 2817371167 and fax number 2814691460. The mailing address for Mark C. Wilde is 13300 Hargrave Rd, Houston, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark C. Wilde |
|---|---|
| Address | 13300 Hargrave Rd, Houston, Texas |
| Phone Number | 2817371167 |
| Fax Number | 2814691460 |
| Sole Proprietor | N |
| Credentials | PSY.D. |
NPI Number Detail
| NPI Number | 1730148925 |
|---|---|
| Provider Enumeration Date | 2006-03-17 |
| Last Updated Date | 2017-02-27 |
Provider Mailing Address Detail
| Address | 13300 Hargrave Rd |
|---|---|
| City | Houston |
| State | Texas (TX) |
| Post Code | 770704373 |
| Phone Number | 2817371167 |
| Fax Number | 2814691460 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Neurophysiology |
|---|---|
| Taxonomy | 2084N0600X |
| Licence No | 25025 |
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Definition: Clinical Neurophysiology is a subspecialty with psychiatric or neurologic expertise in the diagnosis and management of central, peripheral, and autonomic nervous system disorders using combined clinical evaluation and electrophysiologic testing such |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 102648606 | TX | -- | |
| 89680A | TX | BCBS |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Mark C. Wilde by the Centers for Medicare & Medicaid Services?
The Mark C. Wilde has been issued the NPI (National Provider Identifier) 1730148925 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Mark C. Wilde's physical address?
The Mark C. Wilde is physically located at 13300 Hargrave Rd, in the city of Houston, TX, with the postal code 770704373.
What is Mark C. Wilde's area of expertise and its corresponding taxonomy classification?
The Mark C. Wilde's field of specialization is Clinical Neurophysiology, and it falls under the taxonomy code 2084N0600X, which categorizes healthcare providers based on their areas of practice.
On what date did the Mark C. Wilde receive the assignment of its 1730148925 from the Centers for Medicare & Medicaid Services?
The Mark C. Wilde was issued its 1730148925 by the Centers for Medicare & Medicaid Services on 2006-03-17.
As of what date was the information pertaining to Mark C. Wilde, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Mark C. Wilde, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2017-02-27.
NPI Number: 1073517686
Address: 2100 Martin Luther King Jr Blvd, Clovis, NM