Individual
MARK ANTHONY VANN II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
16811 SOUTHWEST FWY, SUGAR LAND, TX 77479-4728
(281) 690-4678
Mailing address
16811 SOUTHWEST FWY, SUGAR LAND, TX 77479-4728
(281) 690-4678
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
4301089527
MI
207X00000X
Orthopaedic Surgery Physician
Primary
M9069
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2021065-02
—
TX
05
—
202106508
—
TX
05
—
202106509
—
TX
Enumeration date
04/04/2007
Last updated
03/17/2018
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