Waldman, Mark B
Waldman, Mark B is an individual health care provider with primary practice located at 751 Hebron Pkwy Ste 150 , Lewisville TX 75057-5070. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Waldman, Mark B can be contacted via phone (972) 316-0450.Contact Information
Primary practice address
751 Hebron Pkwy Ste 150
Lewisville TX 75057-5070
Phone: (972) 316-0450
Fax: (214) 488-2762
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | J8819 | Texas |
Profile Details
NPI number | 1518985654 |
---|---|
LBN Legal business name | Waldman, Mark B |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 17th, 2006 |
Last updated | Jan 24th, 2017 - 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 | 1518985654 | NPPES |
Texas | MEDICAID | 101231203 | |
Texas | MEDICAID | 101231202 |
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