Individual
MARK DAHLEN COUTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3705 MEDICAL PKWY STE 570, AUSTIN, TX 78705-1024
(512) 454-2554
(512) 454-2824
Mailing address
PO BOX 840853, DALLAS, TX 75284-0853
(972) 233-1999
(972) 233-3666
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
S6150
TX
207R00000X
Internal Medicine Physician
BP10056517
TX
Other
Enumeration date
05/11/2016
Last updated
07/24/2020
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