Individual
ERIC ADAM MARKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
810 HOSPITAL DR, SUITE 300, BEAUMONT, TX 77701-4600
(409) 835-0905
(409) 839-4723
Mailing address
810 HOSPITAL DR, SUITE 300, BEAUMONT, TX 77701-4600
(409) 835-0905
(409) 839-4723
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
K3325
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
096395101
—
TX
01
—
89271S
BCBS
TX
01
—
89420K
MEDICARE PERFORMING PROVIDER
TX
Enumeration date
08/02/2005
Last updated
01/27/2010
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