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Organization

MARK A. BISHARA, MD, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MARK A BISHARA M.D., P.A. (PRESIDENT)
(817) 477-9000
Entity
Organization

Contact information

Practice address
550 N WALNUT CREEK DR, SUITE 120, MANSFIELD, TX 76063-3223
(817) 477-9000
(817) 887-5924
Mailing address
550 N WALNUT CREEK DR, SUITE 120, MANSFIELD, TX 76063-3223
(817) 477-9000
(817) 887-5924

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
236064
TX

Other

Enumeration date
11/05/2010
Last updated
11/05/2010
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