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General NPI Number Information
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NPI Number | 1790860112
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Entity Type | Organization
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Legal Business Name | KEVIN T. MARKS MD PA
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Dates
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Enumeration Date | 10/25/2006
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Last Update Date | 09/02/2025
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Provider Practice Location Address
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Address Line | 521 W GRAND PKWY S
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City | KATY
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State | TX
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Zip | 77494-8284
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Country | US
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Telephone | 281-392-0425
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Fax |
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Provider Business Mailing Address
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Address Line | 2603 SHALY CT
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City | KATY
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State | TX
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Zip | 77450-7514
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Country | US
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Telephone | 281-392-0425
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. KEVIN T. MARKS
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Credential | MD
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Telephone | 281-392-0425
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | L6514
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License Number State | TX
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