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Individual

MARK A. LEDOUX

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
17051 DALLAS PKWY STE 300, ADDISON, TX 75001-7105
(214) 888-3900
(214) 888-3901
Mailing address
17051 DALLAS PKWY STE 300, ADDISON, TX 75001-7105
(214) 888-3900
(214) 888-3901

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
M8781
TX
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
M8781
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
M8781
TMB
TX
Enumeration date
05/26/2007
Last updated
07/10/2024
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