Anderson, James Mark
Anderson, James Mark is an individual health care provider with primary practice located at 6161 N State Highway 161 , Irving TX 75038. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Anderson, James Mark can be contacted via phone (972) 258-7499.Contact Information
Primary practice address
6161 N State Highway 161
Irving TX 75038
Phone: (972) 258-7499
Fax: (972) 257-0897
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | H4128 | Texas |
Profile Details
| NPI number | 1225004351 |
|---|---|
| LBN Legal business name | Anderson, James Mark |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 28th, 2006 |
| Last updated | Aug 24th, 2018 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1225004351 | NPPES |
| Texas | Other | H4128 | LICENSE |
| Texas | MEDICAID | 114378601 | LICENSE |
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