Individual
DR. MARK WILLIAM REDROW
Active
Individual
DR. MARK WILLIAM REDROW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
G9383
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
136100801
—
TX
05
—
136100803
—
TX
01
—
136100806
CSHCN
TX
05
—
136100807
—
TX
05
—
136100809
—
TX
01
—
8R1533
BLUE CROSS OF TEXAS
TX
Enumeration date
06/09/2006
Last updated
05/28/2009
Update your record
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