Individual
MR. MARK RICHARD GYENES
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
HS(IDC/DMT)
Contact information
Practice address
2 AUCTION AVE, MEMPHIS, TN 38105-1502
(901) 544-3912
(901) 544-3915
Mailing address
2 AUCTION AVE, MEMPHIS, TN 38105-1502
(901) 544-3912
(901) 544-3915
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
B1583538
TN
1710I1002X
Independent Duty Corpsman
Primary
—
—
1710I1003X
Independent Duty Medical Technicians
—
—
247000000X
Health Information Technician
—
—
247200000X
Other Technician
—
—
376K00000X
Nurse's Aide
3900062
TN
376K00000X
Nurse's Aide
A00065327
MD
Other
Enumeration date
12/15/2005
Last updated
09/11/2025
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