Agostini, Mark Andrew

Agostini, Mark Andrew is an individual health care provider with primary practice located at 5323 Harry Hines Blvd , Dallas TX 75390-7208. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Agostini, Mark Andrew can be contacted via phone (214) 645-0624.

Contact Information

Primary practice address
5323 Harry Hines Blvd Dallas TX 75390-7208
Phone: (214) 645-0624
Fax: (214) 645-0078
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X K4843 Texas

Profile Details

NPI number 1164476792
LBN Legal business name Agostini, Mark Andrew
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 19th, 2006
Last updated Oct 28th, 2011 - about 14 years ago

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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1164476792 NPPES
Texas MEDICAID 104901702

Popular Providers