Individual
DR. MARK L SHAPIRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2800 E BROAD ST STE 421, MANSFIELD, TX 76063-6415
(469) 695-2028
(469) 695-2029
Mailing address
2800 E BROAD ST STE 421, MANSFIELD, TX 76063-6415
(469) 695-2028
(469) 695-2029
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
2006-01252
NC
208600000X
Surgery Physician
219511
MA
208600000X
Surgery Physician
MC-0787
ID
208600000X
Surgery Physician
MD23567
ME
2086S0102X
Surgical Critical Care Physician
MD61612669
WA
2086S0127X
Trauma Surgery Physician
Primary
EMC0000656
MI
2086S0127X
Trauma Surgery Physician
V4068
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1431R
BCBS
NC
05
—
2021536
—
MA
Enumeration date
11/22/2005
Last updated
05/21/2025
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