Lieser, Mark
Lieser, Mark is an individual health care provider with primary practice located at 540 W 5Th St 350, Odessa TX 79761-5034. He recently has only one registered license in Allopathic & Osteopathic Physicians / Trauma Surgery, which is considered as his primary health care specialty. Lieser, Mark can be contacted via phone (432) 332-7500.Contact Information
Primary practice address
540 W 5Th St 350
Odessa TX 79761-5034
Phone: (432) 332-7500
Fax: (432) 332-7503
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Trauma Surgery | 2086S0127X | K5142 | Texas |
Profile Details
| NPI number | 1699835504 |
|---|---|
| LBN Legal business name | Lieser, Mark |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 11th, 2006 |
| Last updated | Sep 11th, 2013 - about 12 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 | 1699835504 | NPPES |
| Texas | MEDICAID | 118656105 | |
| Texas | Other | 8S4850 | |
| Texas | Other | P00326685 |
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