Athans, Mark Edward

Athans, Mark Edward is an individual health care provider with primary practice located at 11822 Fm 2432 Rd , Willis TX 77378-5912. He recently has 2 registered licenses in different health care specialties including Technologists, Technicians & Other Technical Service Providers / Surgical Technologist, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is his primary health care specialty. Athans, Mark Edward can be contacted via phone (832) 581-6369.

Contact Information

Primary practice address
11822 Fm 2432 Rd Willis TX 77378-5912
Phone: (832) 581-6369
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Surgical Technologist 246ZS0410X SA00029 Texas
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X

Profile Details

NPI number 1093833576
LBN Legal business name Athans, Mark Edward
Credentials LSA
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 26th, 2007
Last updated Oct 27th, 2022 - about 2 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 1093833576 NPPES
Texas Other 0004JR BCBS PROVIDER NUMBER

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