Individual
DR. MARK D. STROBER
Active
Individual
DR. MARK D. STROBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
Primary
L5145
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1526790-01
—
TX
01
—
1526790-02
CSHCN
TX
01
—
360004459
RR/MEDICARE
TX
01
—
8G5391
BLUE SHIELD
TX
Enumeration date
04/04/2006
Last updated
11/06/2020
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