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
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1043268204 | NPPES |
| Texas | Other | 83R220 | COLLIN COUNTY PTAN |
| Texas | MEDICAID | 129787103 | COLLIN COUNTY PTAN |
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