Capistrano, C Mark
Capistrano, C Mark is an individual health care provider with primary practice located at 3201 University Dr E Suite 250, Bryan TX 77802-3475. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Capistrano, C Mark can be contacted via phone (979) 731-8558.Contact Information
Primary practice address
3201 University Dr E Suite 250
Bryan TX 77802-3475
Phone: (979) 731-8558
Fax: (979) 731-8654
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | J8943 | Texas |
Profile Details
| NPI number | 1205905494 |
|---|---|
| LBN Legal business name | Capistrano, C Mark |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 6th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1205905494 | NPPES |
| Texas | Other | 8V4920 | BLUE CROSS BLUE SHIELD |
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