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
Fax: (214) 488-2762
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518985654 NPPES
Texas MEDICAID 101231203
Texas MEDICAID 101231202

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