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Individual
DR. MARK EDWARD HENNESSY
Active
Individual
DR. MARK EDWARD HENNESSY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
N4468
TX
207R00000X
Internal Medicine Physician
9500093
NC
207R00000X
Internal Medicine Physician
Primary
N4468
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11323149
UHC
TX
01
—
41696
BCBS PROVIDER NUMBER
NC
05
—
8941696
—
NC
01
—
8CQ712
BCBS
TX
Enumeration date
03/22/2006
Last updated
04/29/2024
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