Organization
MARK VANN MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK ANTHONY VANN II M.D. (OWNER)
(202) 746-9044
Entity
Organization
Contact information
Practice address
7789 SOUTHWEST FWY, SUITE 410, HOUSTON, TX 77074-1834
(713) 876-6518
(832) 623-6236
Mailing address
PO BOX 60, RICHMOND, TX 77406-0002
(713) 876-6518
(832) 623-6236
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
M9069
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1164751830
NPI
—
05
—
217607501
—
TX
Enumeration date
12/09/2009
Last updated
07/11/2013
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