MEDICARE: MARK S. BARLOW, M.D., P.A.

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	2086S0122X	Plastic and Reconstructive Surgery Physician	M1017	TX

General Provider Information

NPI Number	:	1851511133
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MARK S. BARLOW, M.D., P.A.

Provider Business Mailing Address
First Line	:	14917 EL CAMINO REAL UNIT 590585
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77259-0923
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	:	PRESIDENT
Name	:	DR. MARK S. BARLOW
Credential	:	M.D.
Telephone Number	:	281-333-8999

Provider Enumeration Date	:	04/27/2007
Last Update Date	:	11/10/2020

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