Houston, Mark William

Houston, Mark William is an individual health care provider with primary practice located at 4012 N 9Th Ave , Pensacola FL 32503-2824. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Houston, Mark William can be contacted via phone (850) 444-4777.

Contact Information

Primary practice address
4012 N 9Th Ave Pensacola FL 32503-2824
Phone: (850) 444-4777
Fax: (850) 434-3387
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA9102607 Florida

Profile Details

NPI number 1366436362
LBN Legal business name Houston, Mark William
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 6th, 2005
Last updated Nov 4th, 2016 - about 9 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 1366436362 NPPES
Florida MEDICAID 291726200

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