Organization
MARK KUPER DO PA
Active
Other names
MARK KUPER DO
Organization subpart
No
Provider details
NPI number
Authorized official
MARK KUPER DO (DO)
(817) 735-9397
Entity
Organization
Contact information
Practice address
6251 OAKMONT BLVD, FORT WORTH, TX 76132-3119
(817) 735-9397
(817) 735-8340
Mailing address
6251 OAKMONT BLVD, FORT WORTH, TX 76132-3119
(817) 735-9397
(817) 735-8340
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
L7789
TX
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
L7789
TX
2084P2900X
Pain Medicine (Psychiatry & Neurology) Physician
L7789
TX
208VP0014X
Interventional Pain Medicine Physician
L7789
TX
Other
Enumeration date
07/15/2008
Last updated
12/04/2015
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