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Individual

DR. MARK D. STROBER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2401 S 31ST ST, TEMPLE, TX 76508-0001
(254) 724-2111
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(254) 724-8800

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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