Spivey, Mark Alan

Spivey, Mark Alan is an sole proprietor health care provider with primary practice located at 3901 W 15Th St , Plano TX 75075. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Spivey, Mark Alan can be contacted via phone (972) 596-6800.

Contact Information

Primary practice address
3901 W 15Th St Plano TX 75075
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X E6632 Texas

Profile Details

NPI number 1043268204
LBN Legal business name Spivey, Mark Alan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 4th, 2006
Last updated May 10th, 2016 - about 8 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 1043268204 NPPES
Texas Other 83R220 COLLIN COUNTY PTAN
Texas MEDICAID 129787103 COLLIN COUNTY PTAN

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