Bagg, Mark
Bagg, Mark is an individual health care provider with primary practice located at 21 Spurs Ln Ste 248 , San Antonio TX 78240-1671. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hand Surgery, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Bagg, Mark can be contacted via phone (210) 558-7025.Contact Information
Primary practice address
21 Spurs Ln Ste 248
San Antonio TX 78240-1671
Phone: (210) 558-7025
Fax: (210) 558-4762
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Hand Surgery | 207XS0106X | K9221 | Texas |
Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | K9221 | Texas |
Profile Details
NPI number | 1730167479 |
---|---|
LBN Legal business name | Bagg, Mark |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 4th, 2006 |
Last updated | Jan 18th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1730167479 | NPPES |
Texas | MEDICAID | 141203303 | |
Texas | MEDICAID | 141203304 |
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