Individual
MARK D JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3506 21ST ST STE 507, LUBBOCK, TX 79410-1233
(806) 725-4860
(806) 723-7815
Mailing address
2215 NASHVILLE AVE, LUBBOCK, TX 79410-1105
(806) 725-5844
(806) 723-6532
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
M6212
TX
207XX0801X
Orthopaedic Trauma Physician
Primary
M6212
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
187029701
—
TX
Enumeration date
06/13/2006
Last updated
07/18/2022
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