Individual
DR. MARK WILLIAM WALBERG
Active
Individual
DR. MARK WILLIAM WALBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
J6272
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
116591201
—
TX
05
—
116591205
—
TX
01
—
116591206
CSHCN
TX
05
—
116591207
—
TX
01
—
8R1578
BLUE CROSS OF TEXAS
TX
Enumeration date
06/03/2006
Last updated
10/26/2011
Update your record
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