MARK L ELDORE MD PLLC NPI 1831107028

NPI Information

  • NPI: 1831107028
  • Provider Name: MARK L ELDORE MD PLLC
  • Classification: Obstetrics & Gynecology - 207V00000X
  • Entity Type: Organization
  • Doing Business As: ATHENS WOMEN'S AND CHILDREN'S CENTER
  • CLIA Number: 45D1042655
  • Address: 824 SOUTHPARK CIRCLE
    ATHENS, TX
    ZIP 75752
  • Phone: (903) 675-7376

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NPI Details

MARK L ELDORE MD PLLC is an obstetrics gynecology in Athens, TX. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. MARK L ELDORE MD PLLC NPI is 1831107028. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Athens Women's And Children's Center.

The provider's business location address is:

824 SOUTHPARK CIRCLE
ATHENS, TX
ZIP 75752
Phone: (903) 675-7376
Fax: (903) 677-4234

The provider's authorized official is Mark L Eldore .
The authorized official title is Owner and has the following contact phone number (903) 675-7376.

The CLIA number assigned to this NPI record is 45D1042655 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 8/3/2006 and was last updated on 9/29/2016.

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
1363LF0000XNurse PractitionerFamilyNo
2367A00000XAdvanced Practice MidwifeNo
3363LW0102XNurse PractitionerWomen's HealthNo
4207V00000XObstetrics & GynecologyYes

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: 11/21/2025

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