Mark A Vandoren in Dallas - Nurse Anesthetist, Certified Registered
Mark A Vandoren - NPI 1740370642
Mark A Vandoren is a Nurse Anesthetist, Certified Registered in Dallas, Texas. Mark A Vandoren practices all healthcare services and medical treatments related to Nurse Anesthetist, Certified Registered. The NPI Number for Mark A Vandoren is 1740370642. The last update date is 2022-06-21.
Mark A Vandoren's current location address is 12222 Merit Dr Ste 600, Dallas, Texas. You can contact this provider via phone number 9727155000 and fax number 9727159976. The mailing address for Mark A Vandoren is 12222 Merit Dr Ste 600, Dallas, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark A Vandoren |
|---|---|
| Address | 12222 Merit Dr Ste 600, Dallas, Texas |
| Phone Number | 9727155000 |
| Fax Number | 9727159976 |
| Sole Proprietor | N |
| Credentials | C.R.N.A. |
NPI Number Detail
| NPI Number | 1740370642 |
|---|---|
| Provider Enumeration Date | 2006-10-13 |
| Last Updated Date | 2022-06-21 |
Provider Mailing Address Detail
| Address | 12222 Merit Dr Ste 600 |
|---|---|
| City | Dallas |
| State | Texas (TX) |
| Post Code | 752513294 |
| Phone Number | 9727155000 |
| Fax Number | 9727159976 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Anesthetist, Certified Registered |
|---|---|
| Taxonomy | 367500000X |
| Licence No | 557932 |
|
Definition: (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2896105 | TX | -- | |
| 83044U | TX | BLUE CROSS |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Mark A Vandoren by the Centers for Medicare & Medicaid Services?
The Mark A Vandoren has been issued the NPI (National Provider Identifier) 1740370642 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Mark A Vandoren?
The Mark A Vandoren is physically situated at 12222 Merit Dr Ste 600, in the city of Dallas, state of TX, with the postal code 752513294.
What is Mark A Vandoren's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Mark A Vandoren is Nurse Anesthetist, Certified Registered, and the taxonomy code that classifies this field of practice is 367500000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1740370642 to Mark A Vandoren?
The Centers for Medicare & Medicaid Services originally issued the 1740370642 to Mark A Vandoren on 2006-10-13.
As of what date were the details pertaining to Mark A Vandoren last refreshed?
The information related to the Mark A Vandoren, including its address, specialty, and other relevant details, was last updated on 2022-06-21.
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