Individual
DR. MARK FILLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
504 MEDICAL CENTER BLVD, CONROE, TX 77304-2808
(936) 539-1111
Mailing address
10507 E WILDWIND CIR, THE WOODLANDS, TX 77380-4043
(281) 543-0012
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
K8150
TX
208VP0014X
Interventional Pain Medicine Physician
K8150
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42279201
—
TX
01
—
8AC841
BCBSTX PROVIDER NO
TX
Enumeration date
07/27/2006
Last updated
10/23/2009
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