Jeffries, Mark A.

Jeffries, Mark A. is an individual health care provider with primary practice located at 2401 S 31St St , Temple TX 76508-0001. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Gastroenterology is his primary health care specialty. Jeffries, Mark A. can be contacted via phone (254) 724-2111.

Contact Information

Primary practice address
2401 S 31St St Temple TX 76508-0001
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X K9309 Texas
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X K9309 Texas

Profile Details

NPI number 1477513950
LBN Legal business name Jeffries, Mark A.
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2006
Last updated May 24th, 2022 - about 2 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 1477513950 NPPES
Texas Other 8G8416 BLUE SHIELD
Texas Other 110248274 BLUE SHIELD
Texas MEDICAID 1572059-01 BLUE SHIELD
Texas Other 1572059-02 BLUE SHIELD

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