Individual
DR. MARK P TENG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
902 W RANDOL MILL RD, SUITE 200, ARLINGTON, TX 76012-2572
(817) 461-3003
(844) 290-4365
Mailing address
16980 DALLAS PKWY, SUITE 200, DALLAS, TX 75248-1908
(817) 461-3003
(844) 290-4365
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
L6666
TX
207RI0011X
Interventional Cardiology Physician
Primary
L6666
TX
207UN0901X
Nuclear Cardiology Physician
L6666
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
159723901
—
TX
01
—
8F1172
BCBS
TX
Enumeration date
05/03/2006
Last updated
05/19/2023
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