MEDICARE: DR. DWIGHT MARK TOUPS M.D.,F.A.C.P.

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	207R00000X	Internal Medicine Physician	E8972	TX

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1K0613	OTHER	TX	MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1932109600
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DWIGHT MARK TOUPS M.D.,F.A.C.P.

Provider Business Mailing Address
First Line	:	919 HIDDEN RDG
Second Line	:
City	:	IRVING
State	:	TX
Zip	:	75038-3813
Country	:	US
Telephone Number	:	469-282-2711
Fax Number	:	469-282-0996

Provider Business Practice Location Address
First Line	:	3030 NORTH ST
Second Line	:	SUITE 420
City	:	BEAUMONT
State	:	TX
Zip	:	77702-1433
Country	:	US
Telephone Number	:	409-835-2900
Fax Number	:	409-835-1350

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

Provider Enumeration Date	:	07/26/2005
Last Update Date	:	04/07/2021

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