Davies, Mark Glynn
Davies, Mark Glynn is an individual health care provider with primary practice located at 6600 Fish Pond Rd Ste 101 , Waco TX 76710-2582. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Davies, Mark Glynn can be contacted via phone (254) 776-3188.Contact Information
Primary practice address
6600 Fish Pond Rd Ste 101
Waco TX 76710-2582
Phone: (254) 776-3188
Fax: (254) 776-3671
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | M8620 | Texas |
Profile Details
| NPI number | 1477581619 |
|---|---|
| LBN Legal business name | Davies, Mark Glynn |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 28th, 2006 |
| Last updated | Sep 13th, 2023 - about last year |
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 | 1477581619 | NPPES |
| Texas | Other | 8AP706 | BLUE CROSS BLUE SHIELD |
| Texas | MEDICAID | 1807532 | BLUE CROSS BLUE SHIELD |
| Texas | Other | P01039325 | BLUE CROSS BLUE SHIELD |
| Texas | MEDICAID | 196915602 | BLUE CROSS BLUE SHIELD |
| Texas | MEDICAID | 01995142 | BLUE CROSS BLUE SHIELD |
| Texas | MEDICAID | 196915603 | BLUE CROSS BLUE SHIELD |
| Texas | Other | P00633958 | BLUE CROSS BLUE SHIELD |
| Texas | MEDICAID | 196915601 | BLUE CROSS BLUE SHIELD |
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