Sowell, Mark Ephrom

Sowell, Mark Ephrom is an sole proprietor health care provider with primary practice located at 3316 N University Dr Suite C, Nacogdoches TX 75965-2632. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, Podiatric Medicine & Surgery Service Providers / Foot Surgery. Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine is his primary health care specialty. Sowell, Mark Ephrom can be contacted via phone (936) 559-1700.

Contact Information

Primary practice address
3316 N University Dr Suite C Nacogdoches TX 75965-2632
Phone: (936) 559-1700
Fax: (936) 559-1713
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine 213EP1101X 1449 Texas
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X 1449 Texas

Profile Details

NPI number 1679517528
LBN Legal business name Sowell, Mark Ephrom
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 15th, 2006
Last updated Dec 14th, 2011 - about 13 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 1679517528 NPPES
Texas MEDICAID 018599301
Texas Other 480029919
Texas Other 0096DS
Texas Other 4560260001

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