John Mark Bayouth in Fort Worth - Surgery

John Mark Bayouth - NPI 1710904396

John Mark Bayouth is a Surgery in Fort Worth, Texas. John Mark Bayouth practices all healthcare services and medical treatments related to Surgery. The NPI Number for John Mark Bayouth is 1710904396. The last update date is 2016-11-04.

John Mark Bayouth's current location address is 900 W Magnolia Ave Ste 200, Fort Worth, Texas. You can contact this provider via phone number 8178821193 and fax number 8178701602. The mailing address for John Mark Bayouth is 900 W Magnolia Ave Ste 200, Fort Worth, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Name John Mark Bayouth
Address 900 W Magnolia Ave Ste 200, Fort Worth, Texas
Phone Number 8178821193
Fax Number 8178701602
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1710904396
Provider Enumeration Date 2006-07-17
Last Updated Date 2016-11-04

Provider Mailing Address Detail

Address 900 W Magnolia Ave Ste 200
City Fort Worth
State Texas (TX)
Post Code 761048517
Phone Number 8178821193
Fax Number 8178701602

Provider's Primary Taxonomy Detail

Speciality Surgery
Taxonomy 208600000X
Licence No K3553
Definition:
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue;

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
30746407 TX MEDICAID CSHCN
30746404 TX --
P00265372 RAILROAD MEDICARE
30746405 TX --
30746408 TX MEDICAID CSHCN

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FAQs about John Mark Bayouth

What is the unique 10-digit identification code issued to John Mark Bayouth by the Centers for Medicare & Medicaid Services?

The John Mark Bayouth has been assigned the NPI (National Provider Identifier) 1710904396 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you kindly provide the complete physical address where John Mark Bayouth's facilities are geographically located?

The facilities of John Mark Bayouth are physically situated at the following location: 900 W Magnolia Ave Ste 200, Fort Worth, TX, 761048517.

What is John Mark Bayouth's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for John Mark Bayouth is Surgery, and the taxonomy code that categorizes this field of expertise is 208600000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1710904396 to John Mark Bayouth?

The John Mark Bayouth received its 1710904396 assignment from the Centers for Medicare & Medicaid Services on 2006-07-17.

As of what date was the information regarding John Mark Bayouth, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to John Mark Bayouth, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2016-11-04.

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