Redrow, Mark William

Redrow, Mark William is an individual health care provider with primary practice located at 1001 12Th Ave Suite 200, Fort Worth TX 76104-3926. He recently has only one registered license in Allopathic & Osteopathic Physicians / Medical Oncology, which is considered as his primary health care specialty. Redrow, Mark William can be contacted via phone (817) 850-2000.

Contact Information

Primary practice address
1001 12Th Ave Suite 200 Fort Worth TX 76104-3926
Phone: (817) 850-2000
Fax: (817) 850-2065
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X G9383 Texas

Profile Details

NPI number 1689615726
LBN Legal business name Redrow, Mark William
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2006
Last updated May 28th, 2009 - 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 1689615726 NPPES
Texas Other 8R1533 BLUE CROSS OF TEXAS
Texas MEDICAID 136100803 BLUE CROSS OF TEXAS
Texas Other 136100806 BLUE CROSS OF TEXAS
Texas MEDICAID 136100809 BLUE CROSS OF TEXAS
Texas MEDICAID 136100807 BLUE CROSS OF TEXAS
Texas MEDICAID 136100801 BLUE CROSS OF TEXAS

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