Stevens, Mark L
Stevens, Mark L is an sole proprietor health care provider with primary practice located at 501 E Colorado St , Victoria TX 77901-6025. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Stevens, Mark L can be contacted via phone (361) 579-8300.Contact Information
Primary practice address
501 E Colorado St
Victoria TX 77901-6025
Phone: (361) 579-8300
Fax: (361) 579-8303
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | J0283 | Texas |
Profile Details
| NPI number | 1427033786 |
|---|---|
| LBN Legal business name | Stevens, Mark L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 9th, 2005 |
| Last updated | Aug 26th, 2020 - about 4 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 | 1427033786 | NPPES |
| Texas | Other | 00L06C | BCBS OF TX # |
| Texas | Other | 74-2678144 | BCBS OF TX # |
| Texas | MEDICAID | 111531302 | BCBS OF TX # |
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