Kubala, Mark J

Kubala, Mark J is an individual health care provider with primary practice located at 5235 Merlot Dr , Beaumont TX 77706-2577. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurological Surgery, Other Service Providers / Specialist. Other Service Providers / Specialist is his primary health care specialty. Kubala, Mark J can be contacted via phone (409) 781-8426.

Contact Information

Primary practice address
5235 Merlot Dr Beaumont TX 77706-2577
Phone: (409) 781-8426
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X C0720 Texas
Other Service Providers / Specialist 174400000X C0720 Texas

Profile Details

NPI number 1497755391
LBN Legal business name Kubala, Mark J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2005
Last updated Sep 12th, 2023 - about last year

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 1497755391 NPPES
Texas Other 140007873 RAILROAD MEDICARE
Texas MEDICAID 125802205 RAILROAD MEDICARE
Texas Other 4364874 RAILROAD MEDICARE
Texas Other 2824444001 RAILROAD MEDICARE
Texas Other 8F3760 RAILROAD MEDICARE
Texas MEDICAID 148913001 RAILROAD MEDICARE
Texas Other 0020HD RAILROAD MEDICARE
Texas Other A003 RAILROAD MEDICARE

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