Sundy, Mark Lee

Sundy, Mark Lee is an individual health care provider with primary practice located at 3300 S Fm 1788 , Midland TX 79706-2601. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Sundy, Mark Lee can be contacted via phone (432) 561-5915.

Contact Information

Primary practice address
3300 S Fm 1788 Midland TX 79706-2601
Phone: (432) 561-5915
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 688208 Texas

Profile Details

NPI number 1932286754
LBN Legal business name Sundy, Mark Lee
Credentials NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2006
Last updated Oct 23rd, 2012 - about 12 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 1932286754 NPPES
Other 613399 MEDICARE PTAN
MEDICAID 177173502 MEDICARE PTAN
Other 688208 MEDICARE PTAN

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