Walberg, Mark William

Walberg, Mark William is an individual health care provider with primary practice located at 3410 Worth St , Dallas TX 75246-2003. He recently has only one registered license in Allopathic & Osteopathic Physicians / Medical Oncology, which is considered as his primary health care specialty. Walberg, Mark William can be contacted via phone (214) 370-1000.

Contact Information

Primary practice address
3410 Worth St Dallas TX 75246-2003
Fax: (214) 370-1026
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X J6272 Texas

Profile Details

NPI number 1306884333
LBN Legal business name Walberg, Mark William
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 3rd, 2006
Last updated Oct 26th, 2011 - about 13 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 1306884333 NPPES
Texas MEDICAID 116591205
Texas Other 8R1578
Texas MEDICAID 116591201
Texas Other 116591206
Texas MEDICAID 116591207

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