D'Alise, Mark D

D'Alise, Mark D is an individual health care provider with primary practice located at 3502 9Th St Ste 440 , Lubbock TX 79415-3368. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. D'Alise, Mark D can be contacted via phone (806) 761-0535.

Contact Information

Primary practice address
3502 9Th St Ste 440 Lubbock TX 79415-3368
Phone: (806) 761-0535
Fax: (806) 761-0534
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X J8979 Texas

Profile Details

NPI number 1801859723
LBN Legal business name D'Alise, Mark D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 11th, 2006
Last updated Mar 18th, 2021 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801859723 NPPES
Texas Other 8FM001 BCBS
Texas MEDICAID 125356907 BCBS
Texas Other 335026YKT8 BCBS

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