NPI Code Details Logo

NPI 1205982964

NPI 1205982964 : MARK WINDELL TRUE M.D. : JBSA FT SAM HOUSTON, TX

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1205982964
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    MARK WINDELL TRUE M.D.
-----------------------------------------------------
    Gender               |    Male 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    01/26/2007
-----------------------------------------------------
    Last Update Date     |    02/12/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    3551 ROGER BROOKE DR 
-----------------------------------------------------
    City                 |    JBSA FT SAM HOUSTON
-----------------------------------------------------
    State                |    TX
-----------------------------------------------------
    Zip                  |    78234-4504
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    210-916-5756
-----------------------------------------------------
    Fax                  |    210-916-0695
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    19141 STONE OAK PKWY STE 104 
-----------------------------------------------------
    City                 |    SAN ANTONIO
-----------------------------------------------------
    State                |    TX
-----------------------------------------------------
    Zip                  |    78258-3367
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    210-632-9110
-----------------------------------------------------
    Fax                  |    210-292-3748
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    207RE0101X
-----------------------------------------------------
    Taxonomy Name        |    Endocrinology, Diabetes & Metabolism Physician
-----------------------------------------------------
    License Number       |    M4605
-----------------------------------------------------
    License Number State |    TX
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.