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Individual

MARK STANLEY MAYFIELD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4629 NW 23RD ST, OKLAHOMA CITY, OK 73127-2103
(405) 251-8880
(405) 665-7024
Mailing address
102 WOODMONT BLVD STE 600, NASHVILLE, TN 37205-5250
(888) 987-1151

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
38659
OK
207Q00000X
Family Medicine Physician
H4022
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
080167641
RR MEDICARE
TX
05
129384706
TX
05
129384707
TX
05
129384708
TX
05
201015480
OK
05
201015480A
OK
01
8A4580
BCBS
TX
Enumeration date
07/26/2006
Last updated
05/23/2025
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