Individual
MARK S GREENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
400 W LBJ FWY STE 330, IRVING, TX 75063-3717
(972) 556-2885
(972) 506-8733
Mailing address
400 W LBJ FWY STE 330, IRVING, TX 75063-3717
(972) 556-2885
(972) 506-8733
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
H0399
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
89290B
BCBS OF TX
TX
01
—
MDH0399
WK COMP
TX
Enumeration date
09/20/2005
Last updated
07/16/2007
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