Individual
DR. MARK J. BILLANTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
300 UNIVERSITY BLVD BLDG A, ROUND ROCK, TX 78665-1032
(512) 509-0200
(512) 509-0253
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
M6530
TX
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
M6530
TX
Other
Enumeration date
05/08/2007
Last updated
12/21/2021
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