Individual
MARK A WAYNE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
950 N DAVIS, SUITE 4, ARLINGTON, TX 76012
(817) 460-0104
(817) 860-2184
Mailing address
PO BOX 120069, ARLINGTON, TX 76012
(817) 274-1999
(817) 274-4671
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
H8501
TX
Other
Enumeration date
01/23/2006
Last updated
07/08/2007
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