MEDICARE: DR. MARK STEVEN BARLOW M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208200000X	Plastic Surgery Physician	M1017	TX

General Provider Information

NPI Number	:	1134122856
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARK STEVEN BARLOW M.D.

Provider Business Mailing Address
First Line	:	PO BOX 590585
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77259-0585
Country	:	US
Telephone Number	:	281-333-8999
Fax Number	:	281-333-8989

Provider Business Practice Location Address
First Line	:	1616 CLEAR LAKE CITY BLVD STE 102
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77062-8069
Country	:	US
Telephone Number	:	281-333-8999
Fax Number	:	281-333-8989

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/27/2005
Last Update Date	:	04/04/2020

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