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Organization
MARK B. BLICK D.O., P.A.
Active
Organization
MARK B. BLICK D.O., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ZANDRA BUTLER (HUMAN RESOURCES)
(713) 850-7272
Entity
Organization
Contact information
Practice address
6565 WEST LOOP SOUTH, STE 300, BELLAIRE, TX 77401-3500
(713) 850-7272
(713) 877-0970
Mailing address
6565 WEST LOOP SOUTH, STE 300, BELLAIRE, TX 77401-3500
(713) 850-7272
(713) 877-0970
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
G3933
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0014HW
BLUE CROSS BLUE SHIELD
TX
01
—
900004448
MEDICARE RAILROAD
TX
Enumeration date
02/07/2007
Last updated
10/15/2010
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