Individual
MARK ANDREW AGOSTINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5323 HARRY HINES BLVD, DALLAS, TX 75390-7208
(214) 645-0624
(214) 645-0078
Mailing address
5323 HARRY HINES BLVD, DALLAS, TX 75390-8869
(214) 645-8800
(214) 648-6320
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
K4843
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104901702
—
TX
Enumeration date
05/19/2006
Last updated
10/28/2011
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