Jenkins, Mark D

Jenkins, Mark D is an individual health care provider with primary practice located at 3506 21St St Ste 507 , Lubbock TX 79410-1233. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Orthopaedic Trauma. Allopathic & Osteopathic Physicians / Orthopaedic Trauma is his primary health care specialty. Jenkins, Mark D can be contacted via phone (806) 725-4860.

Contact Information

Primary practice address
3506 21St St Ste 507 Lubbock TX 79410-1233
Fax: (806) 723-7815
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X M6212 Texas
Allopathic & Osteopathic Physicians / Orthopaedic Trauma 207XX0801X M6212 Texas

Profile Details

NPI number 1831132430
LBN Legal business name Jenkins, Mark D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2006
Last updated Jul 18th, 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 1831132430 NPPES
Texas MEDICAID 187029701

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