Individual
MARK S. ADICKES
Active
Individual
MARK S. ADICKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
M3840
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01042041
AMERIGROUP
TX
01
—
8W7163
BCBS
TX
01
—
P00435684
RAILROAD MEDICARE
TX
Enumeration date
10/13/2006
Last updated
12/06/2023
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