Individual
MARK B PRESLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6100 HARRIS PARKWAY, SUITE 320, FORT WORTH, TX 76132-4133
(817) 433-5499
(817) 433-5441
Mailing address
PO BOX 961205, FORT WORTH, TX 76161-1205
(817) 740-8400
(817) 433-5441
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
G3703
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
032768602
—
TX
01
—
200046252
RAILROAD MEDICARE
—
Enumeration date
07/14/2006
Last updated
09/30/2011
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