Greenwell, Mark W.

Greenwell, Mark W. is an individual health care provider with primary practice located at 635 Stone Ave , Paris TX 75460-9342. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Greenwell, Mark W. can be contacted via phone (903) 785-3300.

Contact Information

Primary practice address
635 Stone Ave Paris TX 75460-9342
Fax: (903) 785-3310
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 29498 Oklahoma
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X P3725 Texas

Profile Details

NPI number 1184681371
LBN Legal business name Greenwell, Mark W.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 1st, 2006
Last updated Apr 20th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184681371 NPPES
Oklahoma MEDICAID 200452580 A
Oklahoma MEDICAID 3058059-01

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