Altenau, Mark Michael

Altenau, Mark Michael is an sole proprietor health care provider with primary practice located at 7777 Forest Ln Suite B434, Dallas TX 75230-2505. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Altenau, Mark Michael can be contacted via phone (972) 566-7888.

Contact Information

Primary practice address
7777 Forest Ln Suite B434 Dallas TX 75230-2505
Fax: (972) 566-7833
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X D9931 Texas

Profile Details

NPI number 1710963368
LBN Legal business name Altenau, Mark Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 15th, 2005
Last updated Mar 7th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710963368 NPPES
Texas MEDICAID 089665601

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