Adickes, Mark S.
Adickes, Mark S. is an individual health care provider with primary practice located at 950 Campbell Road , Houston TX 77024. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Adickes, Mark S. can be contacted via phone (713) 464-0077.Contact Information
Primary practice address
950 Campbell Road
Houston TX 77024
Phone: (713) 464-0077
Fax: (713) 464-9582
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Sports Medicine | 207XX0005X | M3840 | Texas |
Profile Details
NPI number | 1770673428 |
---|---|
LBN Legal business name | Adickes, Mark S. |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 13th, 2006 |
Last updated | Dec 6th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1770673428 | NPPES |
Texas | Other | 01042041 | AMERIGROUP |
Texas | Other | 8W7163 | AMERIGROUP |
Texas | Other | P00435684 | AMERIGROUP |
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