Individual
MARK ROWE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
405 LONDONDERRY DR STE 311, WACO, TX 76712-7922
(254) 751-4930
Mailing address
PO BOX 20308, WACO, TX 76702-0308
(254) 751-4930
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
G3747
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00N59X
BLUE CROSS BLUE SHIELD
TX
01
—
8A6567
BLUE CROSS BLUE SHIELD
TX
Enumeration date
08/03/2006
Last updated
12/10/2007
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