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Individual
DR. MARK O GABBIE
Active
Individual
DR. MARK O GABBIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
C7084
AR
207Q00000X
Family Medicine Physician
Primary
H5885
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100072350A
—
OK
05
—
113032001
—
AR
05
—
127992908
—
TX
01
—
1G1604
MEDICARE
TX
01
—
50271
BLUE CROSS BLUE SHIELD
AR
01
—
8M7710
BLUE CROSS BLUE SHIELD
TX
01
—
P02599443
RR MCR
TX
Enumeration date
01/05/2006
Last updated
06/23/2021
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