Fasulo, Mark

Fasulo, Mark is an individual health care provider with primary practice located at 755 N 11Th St P2200, Beaumont TX 77702-1513. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Fasulo, Mark can be contacted via phone (409) 892-1192.

Contact Information

Primary practice address
755 N 11Th St P2200 Beaumont TX 77702-1513
Phone: (409) 892-1192
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X M9273 Texas
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X M9273 Texas

Profile Details

NPI number 1366686487
LBN Legal business name Fasulo, Mark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 21st, 2009
Last updated Mar 28th, 2019 - about 5 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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