ST MARKS MEDICAL CENTER NPI 1447287131

NPI Information

NPI: 1447287131
Provider Name: ST MARKS MEDICAL CENTER

Doing Business As: ST MARKS MEDICAL CLINICS

Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

Address:
1 SAINT MARKS PL
LA GRANGE, TX
ZIP 78945
Phone: (979) 242-2200
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ST MARKS MEDICAL CENTER is a family nurse practitioner in La Grange, TX. ST MARKS MEDICAL CENTER NPI is 1447287131. The provider is registered as an organization entity type.
The provider Is Doing Business As St Marks Medical Clinics.

The provider's business location address is:

1 SAINT MARKS PL
LA GRANGE, TX
ZIP 78945-250
Phone: (979) 242-2200
Fax: (979) 242-2299

The provider's authorized official is Carol D Drozd .
The authorized official title is Vice President Operations and has the following contact phone number (979) 242-2110.

The enumeration date for this NPI number is 6/27/2006 and was last updated on 6/2/2008.

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	251K00000X	Public Health or Welfare		008234	TEXAS	No
2	261Q00000X	Clinic/Center		008234	TEXAS	No
3	261QA0005X	Clinic/Center	Ambulatory Family Planning Facility	008234	TEXAS	No
4	282N00000X	General Acute Care Hospital		008234	TEXAS	No
5	363LF0000X	Nurse Practitioner	Family	506983	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	00W090	MEDICARE ID-TYPE UNSPECIFIED	TEXAS

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: 5/5/2024

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