Organization
RUFUS J. MARK, M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RUFUS J MARK M.D. (PRESIDENT)
(806) 796-1122
Entity
Organization
Contact information
Practice address
4101 22ND PL, LUBBOCK, TX 79410-1121
(806) 796-1122
(806) 796-1401
Mailing address
4302 22ND PL, LUBBOCK, TX 79410-1140
(806) 796-1122
(806) 796-1401
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
L2445
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00038RV
BCBS TX
TX
05
—
18601260
—
NM
01
—
1958159
MEDICAID TX
TX
05
—
1958159
—
TX
01
—
DN1664
RAILROAD MEDICARE
NM
01
—
DP0481
RAILROAD MEDICARE
TN
01
—
NM007M14
BCBS-NM GROUP
NM
Enumeration date
08/17/2007
Last updated
08/11/2009
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