Greenberg, Mark
Greenberg, Mark is an individual health care provider with primary practice located at 700 Olympic Plaza Cir Ste 700, Tyler TX 75701-1951. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Greenberg, Mark can be contacted via phone (903) 262-3900.Contact Information
Primary practice address
700 Olympic Plaza Cir Ste 700
Tyler TX 75701-1951
Phone: (903) 262-3900
Fax: (903) 262-3993
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | D7757 | Texas |
Profile Details
| NPI number | 1629018122 |
|---|---|
| LBN Legal business name | Greenberg, Mark |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 7th, 2006 |
| Last updated | Aug 14th, 2013 - about 11 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 | 1629018122 | NPPES |
| Texas | MEDICAID | 131867701 |
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