Kutler, Mark Lawrence

Kutler, Mark Lawrence is an individual health care provider with primary practice located at 1901 N Macarthur Blvd , Irving TX 75061. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Kutler, Mark Lawrence can be contacted via phone (972) 579-8700.

Contact Information

Primary practice address
1901 N Macarthur Blvd Irving TX 75061
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X F6850 Texas

Profile Details

NPI number 1225089386
LBN Legal business name Kutler, Mark Lawrence
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 13th, 2006
Last updated Sep 5th, 2008 - about 16 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 1225089386 NPPES
Texas MEDICAID 038120401
Texas MEDICAID 038120407

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