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NPI Code Detail

MEDICARE: MARK SPRINGS DO

MEDICARE: MARK SPRINGS 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
1207Q00000XFamily Medicine PhysicianG5636TX

General Provider Information

NPI Number : 1225044589
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARK SPRINGS DO
Provider Business Mailing Address
First Line : PO BOX 26726
Second Line :
City : AUSTIN
State : TX
Zip : 78755-0726
Country : US
Telephone Number : 512-407-8686
Fax Number :
Provider Business Practice Location Address
First Line : 825 E RUNDBERG LN STE B1
Second Line :
City : AUSTIN
State : TX
Zip : 78753-4860
Country : US
Telephone Number : 512-836-5472
Fax Number : 512-836-9567
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/31/2006
Last Update Date : 10/31/2007

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Directions to “ MARK SPRINGS DO” Practice Location

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