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Individual
MR. MARK ALLAN AHRENS
Active
Individual
MR. MARK ALLAN AHRENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
12129
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
608755
BLUE CROSS BLUE SHEILD RECORD ID
—
01
—
TXB164271
MEDICARE PTAN
—
Enumeration date
02/15/2010
Last updated
07/24/2017
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