Individual
DR. MARK L MAYO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6565 WEST LOOP S, SUITE 650, BELLAIRE, TX 77401-3500
(713) 797-1010
(713) 357-7290
Mailing address
6565 WEST LOOP S, SUITE 650, BELLAIRE, TX 77401-3500
(713) 797-1010
(713) 357-7290
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
J0106
TX
207WX0200X
Ophthalmic Plastic and Reconstructive Surgery Physician
J0106
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
125408801
—
TX
01
—
180019404
RR MEDICARE
TX
01
—
4482580
AETNA
—
01
—
8S9544
BCBSTX
TX
Enumeration date
12/13/2005
Last updated
01/30/2019
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