Individual
MARK A PLUNKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
J2258
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4118033
BLUE LINK
—
01
—
5671185
AETNA
—
01
—
8M5282
BC
—
01
—
P00127589
RAILROAD MEDICARE
—
Enumeration date
08/03/2005
Last updated
07/01/2013
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