Individual
DR. MARK A. JEFFRIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2401 S 31ST ST, TEMPLE, TX 76508-0001
(254) 724-2111
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(254) 724-2111
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
K9309
TX
207RG0100X
Gastroenterology Physician
Primary
K9309
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110248274
RR/MEDICARE
TX
05
—
1572059-01
—
TX
01
—
1572059-02
CSHCN
TX
01
—
8G8416
BLUE SHIELD
TX
Enumeration date
03/27/2006
Last updated
03/03/2026
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