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NPI Code Detail

MEDICARE: G. MARK JENKINS, MD PA

MEDICARE: G. MARK JENKINS, MD PA
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
1207RC0000XCardiovascular Disease PhysicianK6614TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10057XZOTHERTXBCBS
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1679837785
Entity Type Code : Organization
Provider Name (Legal Business Name) : G. MARK JENKINS, MD PA
Provider Business Mailing Address
First Line : 950 SCOTLAND DR
Second Line :
City : DESOTO
State : TX
Zip : 75115-2057
Country : US
Telephone Number : 972-352-8838
Fax Number : 214-946-7445
Provider Business Practice Location Address
First Line : 950 SCOTLAND DR
Second Line :
City : DESOTO
State : TX
Zip : 75115-2057
Country : US
Telephone Number : 972-352-8838
Fax Number : 214-946-7445
Authorized Official
Title or Position : OWNER
Name : GEORGE M JENKINS
Credential : MD
Telephone Number : 972-352-8838
Provider Enumeration Date : 07/03/2012
Last Update Date : 03/03/2026

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