Individual
DR. MARK JAMES MEHAFFEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6720 BERTNER ST, HOUSTON, TX 77030-2604
(832) 355-2121
Mailing address
7314 MAIN ST, HOUSTON, TX 77030-3710
(713) 530-6947
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
K5046
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
096429808
—
TX
01
—
096429809
CSHCN TPI
TX
05
—
165601901
—
TX
05
—
1722561
—
LA
01
—
89134Y
BCBS
TX
Enumeration date
07/24/2006
Last updated
07/02/2020
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