Individual
MARK C HOUSTON
Active
Individual
MARK C HOUSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
10516
TN
207RH0005X
Hypertension Specialist Physician
10516
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0440440
UNITED HEALTH CARE
TN
01
—
10075140
AMERIGROUP
TN
01
—
110219098
MEDICARE RR
TN
05
—
1507589
—
TN
01
—
2576056
CIGNA
TN
01
—
3164320
BLUE CROSS OF TN
TN
01
—
4067698
AETNA
TN
01
—
633837
USO MCO
TN
05
—
64746076
—
KY
Enumeration date
06/02/2006
Last updated
05/12/2015
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