Individual
MARK J DANNENBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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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