Hupert, Mark J
Hupert, Mark J is an individual health care provider with primary practice located at 1124 College Ave , Fort Worth TX 76104-4557. He recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as his primary health care specialty. Hupert, Mark J can be contacted via phone (817) 348-0821.Contact Information
Primary practice address
1124 College Ave
Fort Worth TX 76104-4557
Phone: (817) 348-0821
Fax: (817) 348-0073
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | L1619 | Texas |
Profile Details
| NPI number | 1265407761 |
|---|---|
| LBN Legal business name | Hupert, Mark J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 20th, 2006 |
| Last updated | Jan 21st, 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 | 1265407761 | NPPES |
| Other | P00289085 | MEDICARE RAILROAD | |
| MEDICAID | 146391102 | MEDICARE RAILROAD | |
| Other | 8J8302 | MEDICARE RAILROAD |
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