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Individual

MARK S GIRSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1901 N MACARTHUR BLVD, IRVING, TX 75061
(972) 579-8700
Mailing address
PO BOX 1888, GREENVILLE, TX 75403
(800) 945-2455
(903) 453-2541

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
H4933
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
137706102
TX
05
137706112
TX
Enumeration date
05/12/2006
Last updated
09/05/2008
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