Barret, Mark M
Barret, Mark M is an individual health care provider with primary practice located at 8288 S Broadway Ave , Tyler TX 75703-5262. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Barret, Mark M can be contacted via phone (903) 606-7060.Contact Information
Primary practice address
8288 S Broadway Ave
Tyler TX 75703-5262
Phone: (903) 606-7060
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | J3978 | Texas |
Profile Details
| NPI number | 1659341055 |
|---|---|
| LBN Legal business name | Barret, Mark M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 26th, 2006 |
| Last updated | Dec 8th, 2014 - about 11 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 | 1659341055 | NPPES |
| Texas | Other | 5152004 | AETNA |
| Texas | Other | TAX ID AND 027 | AETNA |
| Texas | Other | 122991 | AETNA |
| Texas | Other | 83Y676 | AETNA |
| Texas | MEDICAID | 136283211 | AETNA |
| Texas | Other | 8DC103 | AETNA |
| Texas | MEDICAID | 136283212 | AETNA |
| Texas | Other | 752616977118 | AETNA |
| Texas | MEDICAID | 136283208 | AETNA |
Popular Providers
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