Nordyke, Mark D

Nordyke, Mark D is an sole proprietor health care provider with primary practice located at 4515 Marsha Sharp Fwy , Lubbock TX 79407-2520. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Nordyke, Mark D can be contacted via phone (806) 744-7223.

Contact Information

Primary practice address
4515 Marsha Sharp Fwy Lubbock TX 79407-2520
Fax: (806) 740-3325
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X G3651 Texas

Profile Details

NPI number 1134128986
LBN Legal business name Nordyke, Mark D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 14th, 2005
Last updated Nov 30th, 2010 - about 14 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 1134128986 NPPES
Other 8CL444 BCBS

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