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Individual

MARK WESLEY BAILEY

Active
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Individual

MARK WESLEY BAILEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
FNP, DC

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
DC6041
TX
363LF0000X
Family Nurse Practitioner
Primary
776890
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
179628601
—
TX
01
—
T0183616
DPS NUMBER
TX
Enumeration date
02/21/2007
Last updated
03/26/2024
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