Udden, Mark
Udden, Mark is an individual health care provider with primary practice located at 6620 Main St , Houston TX 77030-2348. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology, which is considered as his primary health care specialty. Udden, Mark can be contacted via phone (713) 798-2500.Contact Information
Primary practice address
6620 Main St
Houston TX 77030-2348
Phone: (713) 798-2500
Fax: (713) 798-2505
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hematology | 207RH0000X | E8986 | Texas |
Profile Details
| NPI number | 1235219577 |
|---|---|
| LBN Legal business name | Udden, Mark |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 17th, 2006 |
| Last updated | Dec 4th, 2020 - about 5 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 | 1235219577 | NPPES |
| Texas | MEDICAID | 131355304 |
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