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1073319463 NPI number — ROBERT MARKS MD PLLC

NPI Number: 1073319463
Health Care Provider/Practitioner: ROBERT MARKS MD PLLC

Information about “1073319463” NPI (ROBERT MARKS MD PLLC) exists in 1073319463 in HTML format HTML  |  1073319463 in plain Text format TXT  |  1073319463 in PDF (Portable Document Format) PDF  |  1073319463 in an XML format XML  formats.

NPI Number : 1073319463 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1073319463",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "ROBERT MARKS MD PLLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "12176 N MOPAC EXPY STE D",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "AUSTIN",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "78758-2908",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "512-981-7246",
    "MailingAddressFaxNumber": "512-981-7246",
    "FirstLinePracticeLocationAddress": "12176 N MOPAC EXPY STE D",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "AUSTIN",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "78758-2908",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "512-981-7246",
    "PracticeLocationAddressFaxNumber": "512-981-7246",
    "EnumerationDate": "02/25/2025",
    "LastUpdateDate": "02/25/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "MARKS",
    "AuthorizedOfficialFirstName": "ROBERT",
    "AuthorizedOfficialMiddleName": "STEVEN",
    "AuthorizedOfficialTitle": "OWNER/PHYSICIAN",
    "AuthorizedOfficialNamePrefix": "DR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "MD",
    "AuthorizedOfficialTelephoneNumber": "972-333-4133",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "291U00000X",
        "TaxonomyName": "Clinical Medical Laboratory",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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