Individual
MARK J DANNENBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6400 FANNIN ST, STE. 2800, HOUSTON, TX 77030-1521
(713) 486-8000
(713) 486-8088
Mailing address
6400 FANNIN ST STE 2070, HOUSTON, TX 77030-1541
(713) 486-7747
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
235714
MA
207T00000X
Neurological Surgery Physician
Primary
N6245
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
304333301
MEDICAID HARRIS COUNTY
TX
01
—
304333302
MEDICAID MONTGOMERY COUNTY
TX
01
—
8DH416
BCBSTX
TX
01
—
P01084167
MEDICARE RAILROAD
TX
01
—
TXB159068
MEDICARE HARRIS COUNTY
TX
01
—
TXB165353
MEDICARE MONTGOMERY COUNTY
TX
Enumeration date
05/13/2008
Last updated
01/30/2020
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