Individual
DR. MARK S ZEBROWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1319 W STATE HIGHWAY 114, SUITE 320, GRAPEVINE, TX 76051-8617
(817) 421-9705
(817) 421-9716
Mailing address
1319 W STATE HIGHWAY 114, STE 320, GRAPEVINE, TX 76051-8617
(817) 421-9705
(817) 421-9716
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5764TG
TX
152WC0802X
Corneal and Contact Management Optometrist
5764TG
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
80790Q
BLUE CROSS BLUE SHIELD
—
01
—
P00322065
MEDICARE RAILROAD
TX
Enumeration date
04/05/2006
Last updated
05/10/2015
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