Mark William Houston in Jacksonville - Surgical
Mark William Houston - NPI 1366436362
Mark William Houston is a Surgical in Jacksonville, Florida. Mark William Houston practices all healthcare services and medical treatments related to Surgical. The NPI Number for Mark William Houston is 1366436362. The last update date is 2016-11-04.
Mark William Houston's current location address is 11945 San Jose Blvd, Jacksonville, Florida. You can contact this provider via phone number 9043991725 and fax number 9043991717. The mailing address for Mark William Houston is 11945 San Jose Blvd, Jacksonville, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark William Houston |
|---|---|
| Address | 11945 San Jose Blvd, Jacksonville, Florida |
| Phone Number | 9043991725 |
| Fax Number | 9043991717 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1366436362 |
|---|---|
| Provider Enumeration Date | 2005-09-06 |
| Last Updated Date | 2016-11-04 |
Provider Mailing Address Detail
| Address | 11945 San Jose Blvd |
|---|---|
| City | Jacksonville |
| State | Florida (FL) |
| Post Code | 322231613 |
| Phone Number | 9043991725 |
| Fax Number | 9043991717 |
Provider's Primary Taxonomy Detail
| Speciality | Surgical |
|---|---|
| Taxonomy | 363As0400X |
| Licence No | PA9102607 |
|
Definition: A licensed healthcare professional who assists in providing surgical care under physician supervision. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 291726200 | FL | -- |
Post Comment/ Review Below
What is the Mark William Houston's unique identification number?
The Mark William Houston has been assigned the NPI (National Provider Identifier) Number 1366436362 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete street address where Mark William Houston is physically located?
The Mark William Houston is physically situated at the following address: 11945 San Jose Blvd, Jacksonville, FL, 322231613.
What is Mark William Houston's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Mark William Houston is Surgical, and the taxonomy classification code that categorizes this area of expertise is 363As0400X.
On what date did the Mark William Houston receive the assignment of its 1366436362 from the Centers for Medicare & Medicaid Services?
The Mark William Houston was issued its 1366436362 by the Centers for Medicare & Medicaid Services on 2005-09-06.
As of what date were the details pertaining to Mark William Houston last refreshed?
The information related to the Mark William Houston, including its address, specialty, and other relevant details, was last updated on 2016-11-04.