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Individual

MARK WAGIH GENDI

Active
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Individual

MARK WAGIH GENDI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
05886
KY
207X00000X
Orthopaedic Surgery Physician
Primary
V9902
TX
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
V9902
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
27477312
TEXAS DEPARTMENT OF TRANSPORTATION
TX
Enumeration date
04/18/2019
Last updated
07/14/2025
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