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NPI Code Detail

MEDICARE: DR. MARK STEVEN GIVAN DDS

MEDICARE:  DR. MARK STEVEN GIVAN  DDS
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
11223G0001XGeneral Practice Dentistry111934TX

General Provider Information

NPI Number : 1114035581
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARK STEVEN GIVAN DDS
Provider Business Mailing Address
First Line : 2925 OAK PARK CIRCLE
Second Line : SUITE 100
City : FT WORTH
State : TX
Zip : 76109-1893
Country : US
Telephone Number : 817-926-5556
Fax Number : 817-926-6002
Provider Business Practice Location Address
First Line : 2925 OAK PARK CIRCLE
Second Line : SUITE 100
City : FT WORTH
State : TX
Zip : 76109-1893
Country : US
Telephone Number : 817-926-5556
Fax Number : 817-926-6002
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/27/2006
Last Update Date : 09/17/2014

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Directions to “ DR. MARK STEVEN GIVAN DDS” Practice Location

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