# MARK DIRNBERGER DO PA

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

## Provider details

- **NPI number:** 1801078753
- **Authorized official:** MARK A DIRNBERGER MD (OWNER)
- **Authorized official phone:** (817) 419-6111

## Contact information

- **Practice address:** 2001 SE GREEN OAKS BLVD., SUITE \# 130, ARLINGTON, TX 76018-0952
- **Practice address phone:** (817) 419-6111
- **Practice address fax:** (817) 572-7982
- **Mailing address:** 74 REGENCY PKWY, MANSFIELD, TX 76063-7816
- **Mailing address phone:** (817) 419-6111
- **Mailing address fax:** (817) 572-7982

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 204D00000X | Neuromusculoskeletal Medicine & OMM Physician | L5305 | TX | Yes |
| 208VP0000X | Pain Medicine Physician | L5305 | TX | — |

## Other

- **Enumeration date:** 12/03/2007
- **Last updated:** 04/28/2022