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
Phone: (806) 725-4860
Fax: (806) 723-7815
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1831132430 | NPPES |
Texas | MEDICAID | 187029701 |
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