Individual
MARK CHRISTOPHER RACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
203 NACOGDOCHES ST, STE 350, JACKSONVILLE, TX 75766-2462
(903) 586-6841
(903) 586-7792
Mailing address
203 NACOGDOCHES ST, STE 350, JACKSONVILLE, TX 75766-2462
(903) 586-6841
(903) 586-7792
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
00019671
AL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
G3714
TX
208100000X
Physical Medicine & Rehabilitation Physician
—
IL
Other
Enumeration date
07/26/2005
Last updated
03/10/2008
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