Individual
DR. MARK AHEARN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6720 BERTNER ST, HOUSTON, TX 77030-2604
(832) 355-2121
Mailing address
6750 WEST LOOP S, SUITE 950, BELLAIRE, TX 77401-4103
(713) 838-0800
(713) 838-0887
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
L5216
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
155276203
—
TX
01
—
8F8879
BCBS
TX
Enumeration date
07/21/2006
Last updated
10/08/2009
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