# MARK E SUTHERLAND M.D.,P.A

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568657393
- **Authorized official:** MARK E SUTHERLAND MD (MD, PRESIDENT)
- **Authorized official phone:** (903) 792-3773

## Contact information

- **Practice address:** 2717 SUMMERHILL RD, TEXARKANA, TX 75503-3957
- **Practice address phone:** (903) 792-3773
- **Practice address fax:** (903) 792-1291
- **Mailing address:** 2717 SUMMERHILL RD, TEXARKANA, TX 75503-3957
- **Mailing address phone:** (903) 792-3773
- **Mailing address fax:** (903) 792-1291

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | J7221 | TX | Yes |

## Other

- **Enumeration date:** 09/14/2007
- **Last updated:** 01/26/2012
