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NPI Code Detail

MEDICARE: DR. MARK TRISNA D.O

MEDICARE: DR. MARK TRISNA 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
1207R00000XInternal Medicine PhysicianP9268TX
2208M00000XHospitalist PhysicianP9268TX

General Provider Information

NPI Number : 1669799581
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARK TRISNA D.O
Provider Business Mailing Address
First Line : 1701 SUNSET BLVD
Second Line :
City : HOUSTON
State : TX
Zip : 77005-1798
Country : US
Telephone Number : 713-526-5511
Fax Number :
Provider Business Practice Location Address
First Line : 1701 SUNSET BLVD
Second Line :
City : HOUSTON
State : TX
Zip : 77005-1798
Country : US
Telephone Number : 713-526-5511
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/03/2010
Last Update Date : 01/22/2026

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Directions to “ DR. MARK TRISNA D.O” Practice Location

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