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:
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Health care specialties

SpecialtyCodeLicense #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 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 1730167479 NPPES
Texas MEDICAID 141203303
Texas MEDICAID 141203304

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