Dammert, Mark O

Dammert, Mark O is an individual health care provider with primary practice located at 1180 Seton Pkwy Suite 420, Kyle TX 78640-6178. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Otolaryngology, Allopathic & Osteopathic Physicians / Facial Plastic Surgery. Allopathic & Osteopathic Physicians / Otolaryngology is his primary health care specialty. Dammert, Mark O can be contacted via phone (512) 268-5282.

Contact Information

Primary practice address
1180 Seton Pkwy Suite 420 Kyle TX 78640-6178
Phone: (512) 268-5282
Fax: (512) 268-5769
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X N9533 Texas
Allopathic & Osteopathic Physicians / Facial Plastic Surgery 207YS0123X N9533 Texas

Profile Details

NPI number 1417168345
LBN Legal business name Dammert, Mark O
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2007
Last updated Jan 6th, 2014 - about 10 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 1417168345 NPPES
Texas MEDICAID 288309203
Texas MEDICAID 288309202
Texas Other 8DY645

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