Individual
MARK S MAXWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1933 PINE ST, STE A, ABILENE, TX 79601-2431
(325) 674-9494
(325) 674-9493
Mailing address
1933 PINE ST, STE A, ABILENE, TX 79601-2431
(325) 674-9494
(325) 674-9493
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
J9751
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036031501
—
TX
01
—
118796100
FIRST CARE
TX
01
—
75261819179601
TRICARE
TX
Enumeration date
08/15/2005
Last updated
02/20/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us