MEDICARE: DR. MARK A FLOOD D.O.

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	207XS0117X	Orthopaedic Surgery of the Spine Physician	K8748	TX
2	207XP3100X	Pediatric Orthopaedic Surgery Physician	K8748	TX
3	207X00000X	Orthopaedic Surgery Physician	K8748	TX

General Provider Information

NPI Number	:	1346341005
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARK A FLOOD D.O.

Provider Business Mailing Address
First Line	:	4201 W PARMER LN
Second Line	:	BUILDING A, SUITE 275
City	:	AUSTIN
State	:	TX
Zip	:	78727-4109
Country	:	US
Telephone Number	:	512-834-1300
Fax Number	:

Provider Business Practice Location Address
First Line	:	4201 W PARMER LN
Second Line	:	BUILDING A, SUITE 275
City	:	AUSTIN
State	:	TX
Zip	:	78727-4109
Country	:	US
Telephone Number	:	512-834-1300
Fax Number	:

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

Provider Enumeration Date	:	09/26/2006
Last Update Date	:	05/12/2010

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