Individual
MARK FIELD MACKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
590 MEDICAL CENTER ROAD, FT CAVAZOS, TX 76544
(254) 288-8197
Mailing address
2600 OAKHAVEN DR, AUSTIN, TX 78704-3830
(469) 556-5024
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
660463
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
165732205
—
TX
05
—
165732206
—
TX
05
—
165732208
—
TX
05
—
165732210
—
TX
05
—
165732213
—
TX
01
—
660463
RN LICENSE
TX
01
—
8134UU
BCBS
TX
01
—
8333UD
BCBS TX
TX
01
—
87908U
BLUE CROSS
—
01
—
P00429638
MEDICARE RAILROAD
—
01
—
P00956822
RR MEDICARE
TX
01
—
P01202402
RR MEDICARE
TX
Enumeration date
07/13/2006
Last updated
03/19/2026
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