Individual
DR. MARK DARIUSH TABARROK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9835 N LAKE CREEK PKWY, AUSTIN, TX 78717-6210
(832) 824-1000
Mailing address
314 LODESTONE LN, AUSTIN, TX 78738-6162
(512) 299-0603
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
BP1-0023124
TX
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
N1174
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3805159112
MYUTMB 3805159112-COMMERCIAL NUMBER
—
Enumeration date
06/15/2007
Last updated
01/23/2024
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