Individual
MARK DRESSELHOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
18780 INTERSTATE 20, CANTON, TX 75103-3593
(903) 567-4841
Mailing address
1500 S LAMAR BLVD APT 2008, AUSTIN, TX 78704-2944
(810) 287-0400
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
R6554
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
387166706
—
TX
05
—
387166707
—
TX
Enumeration date
04/06/2016
Last updated
01/04/2021
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