MEDICARE: WENDY S MARKOWITZ M.D.

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
1	208000000X	Pediatrics Physician	M8162	TX

Other Identifiers

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

General Provider Information

NPI Number	:	1659477222
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WENDY S MARKOWITZ M.D.

Provider Business Mailing Address
First Line	:	1009 N 4TH ST
Second Line	:
City	:	LONGVIEW
State	:	TX
Zip	:	75601-4768
Country	:	US
Telephone Number	:	903-212-4330
Fax Number	:	903-212-4333

Provider Business Practice Location Address
First Line	:	1009 N 4TH ST
Second Line	:
City	:	LONGVIEW
State	:	TX
Zip	:	75601-4768
Country	:	US
Telephone Number	:	903-212-4330
Fax Number	:	903-212-4333

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/14/2006
Last Update Date	:	03/26/2018

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