MARK E PRETORIUS MD NPI 1912900580

NPI Information

NPI: 1912900580
Provider Name: MARK E PRETORIUS, MD
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Individual

Specialization: Neurology

Address:
5201 CORINTHIAN BAY DR
PLANO, TX
ZIP 75093
Phone: (972) 596-5144
Get Directions

Mark E Pretorius, MD is a neurology psychiatry neurology in Plano, TX. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. Mark E Pretorius, MD NPI is 1912900580. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5201 CORINTHIAN BAY DR
PLANO, TX
ZIP 75093-028
Phone: (972) 596-5144
Fax: (972) 596-2128

The enumeration date for this NPI number is 5/27/2005 and was last updated on 11/5/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2084N0400X	Psychiatry & Neurology	Neurology	F4392	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	P00228944	OTHER	TEXAS	RAILROAD MEDICARE
2	122894205	MEDICAID	TEXAS
3	B25642	MEDICARE UPIN
4	8A6808	MEDICARE PIN	TEXAS
5	8BL750	OTHER	TEXAS	BCBS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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