Individual
MARK A VANDOREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
C.R.N.A.
Contact information
Practice address
12222 MERIT DR STE 600, DALLAS, TX 75251-3294
(972) 715-5000
(972) 715-9976
Mailing address
PO BOX 840853, DALLAS, TX 75284-2155
(972) 233-1999
(972) 233-3666
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
557932
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
AP109776
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002896105
—
TX
01
—
83044U
BLUE CROSS
TX
Enumeration date
10/13/2006
Last updated
06/21/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us