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Individual

DR. MARK LOUIS BAILEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3600 SHIRE BLVD, STE 104, RICHARDSON, TX 75082-2236
(972) 487-6400
(972) 487-1686
Mailing address
3600 SHIRE BLVD, STE 104, RICHARDSON, TX 75082-2236
(972) 487-6400
(972) 487-1686

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
H2226
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
115376902
TX
Enumeration date
05/16/2006
Last updated
03/07/2022
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