Individual
DR. MARK E. HEALY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
H5564
TX
2085R0202X
Diagnostic Radiology Physician
Primary
H5564
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1255572-05
—
TX
01
—
125557202
CSHCN
TX
05
—
125557203
—
TX
01
—
H5564
TEXAS MEDICAL LICENSE
TX
Enumeration date
03/03/2006
Last updated
03/31/2016
Update your record
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