Individual
DR. MARK D PRINCE
Active
Individual
DR. MARK D PRINCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
35969
TN
207RG0100X
Gastroenterology Physician
Primary
P8720
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
338983501
—
TX
05
—
338983502
—
TX
01
—
75-2616977-054
TRICARE
TX
01
—
P01812747
RAIL ROAD MEDICARE
TX
Enumeration date
08/30/2005
Last updated
08/07/2026
Update your record
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