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General NPI Number Information
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NPI Number | 1861313785
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Entity Type | Individual
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Provider Name | MARK MA SR.
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Gender | Male
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Dates
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Enumeration Date | 07/24/2026
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Last Update Date | 07/24/2026
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Provider Practice Location Address
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Address Line | 14248 BELLAIRE BLVD STE 101
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City | HOUSTON
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State | TX
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Zip | 77083-7536
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Country | US
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Telephone | 713-930-3088
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Fax |
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Provider Business Mailing Address
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Address Line | 21203 BARRETT CREEK LN
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City | RICHMOND
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State | TX
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Zip | 77407-6407
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Country | US
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Telephone | 713-478-8412
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | MT119964
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License Number State | TX
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