Mark L Eldore M.D.

NPI 1134120256 - Obstetrics & Gynecology - 207V00000X

NPI Details
NPI 1134120256
Gender Male
Enumeration Date 08/10/2005
Last Updated 02/07/2012
Entity Type Individual
Active Over 11 years ago
Practice Location
824 SOUTHPARK CIRCLE
ATHENS TX, 75752, US
Phone (903) 675-7376
Fax (903) 677-4234
Business Location
824 SOUTHPARK CIRCLE
ATHENS TX, 75752, US
Phone (903) 675-7376
Fax (903) 677-4234
Toxanomy
Taxonomy Code 207V00000X
License State Texas
License Number K0461
Remove 1134120256 NPI Number
 

According to our database, Dr. Mark L Eldore M.D. NPI is 1134120256, taxonomy code is 207V00000X and license number is K0461, license state is located at Texas. Mark L Eldore M.D. physically located at 824 Southpark Circle, Athens TX, 75752. NPI Number Mark L Eldore M.D. has the Individual type.

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1134120256 NPI number is provided on an as is basis without warranty of any kind. 1134120256 is maintained by the National Plan & Provider Enumeration System. The contents of Mark L Eldore M.D. are for informational purposes only.