Pretorius, Mark E

Pretorius, Mark E is an individual health care provider with primary practice located at 5201 Corinthian Bay Dr , Plano TX 75093-4028. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Pretorius, Mark E can be contacted via phone (972) 596-5144.

Contact Information

Primary practice address
5201 Corinthian Bay Dr Plano TX 75093-4028
Phone: (972) 596-5144
Fax: (972) 596-2128
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X F4392 Texas

Profile Details

NPI number 1912900580
LBN Legal business name Pretorius, Mark E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 27th, 2005
Last updated Nov 5th, 2015 - about 9 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 1912900580 NPPES
Texas MEDICAID 122894205
Texas Other P00228944
Texas Other 8BL750

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