Bailey, Mark Louis
Bailey, Mark Louis is an individual health care provider with primary practice located at 3600 Shire Blvd Ste 104, Richardson TX 75082-2236. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Bailey, Mark Louis can be contacted via phone (972) 487-6400.Contact Information
Primary practice address
3600 Shire Blvd Ste 104
Richardson TX 75082-2236
Phone: (972) 487-6400
Fax: (972) 487-1686
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | H2226 | Texas |
Profile Details
| NPI number | 1114979796 |
|---|---|
| LBN Legal business name | Bailey, Mark Louis |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 16th, 2006 |
| Last updated | Mar 7th, 2022 - about 3 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 | 1114979796 | NPPES |
| Texas | MEDICAID | 115376902 |
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