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NPI Code Detail

MEDICARE: KRISTEN L MARKS DO

MEDICARE:   KRISTEN L MARKS  DO
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
1207P00000XEmergency Medicine Physician3640AZ
2207P00000XEmergency Medicine PhysicianQ3566TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1164407128
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTEN L MARKS DO
Provider Business Mailing Address
First Line : 911 CAUBLESTONE HILL DR
Second Line :
City : ARGYLE
State : TX
Zip : 76226-6873
Country : US
Telephone Number : 480-231-9970
Fax Number :
Provider Business Practice Location Address
First Line : 3301 MATLOCK RD
Second Line :
City : ARLINGTON
State : TX
Zip : 76015-2908
Country : US
Telephone Number : 682-509-4540
Fax Number : 682-509-4541
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/13/2005
Last Update Date : 09/15/2020

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Directions to “ KRISTEN L MARKS DO” Practice Location

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