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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 6 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225004351 NPPES
Texas Other H4128 LICENSE
Texas MEDICAID 114378601 LICENSE

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