Individual
DR. MARK H HEBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10830 N CENTRAL EXPY, STE 330, DALLAS, TX 75231-1050
(214) 696-3540
(214) 696-1230
Mailing address
PO BOX 650759, DALLAS, TX 75265-0759
(214) 696-3540
(214) 696-1230
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
E8544
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
098516002
—
TX
01
—
G58S
BLUE CROSS BLUE SHIELD ID
TX
Enumeration date
06/01/2005
Last updated
11/16/2008
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