Mettauer, Mark Menefee
Mettauer, Mark Menefee is an individual health care provider with primary practice located at 17450 St Lukes Way Ste 290 , The Woodlands TX 77384-8045. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery). Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) is his primary health care specialty. Mettauer, Mark Menefee can be contacted via phone (936) 283-0264.Contact Information
Primary practice address
17450 St Lukes Way Ste 290
The Woodlands TX 77384-8045
Phone: (936) 283-0264
Fax: (936) 828-2498
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | K6486 | Texas |
| Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | K6486 | Texas |
Profile Details
| NPI number | 1427043967 |
|---|---|
| LBN Legal business name | Mettauer, Mark Menefee |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 12th, 2005 |
| Last updated | Sep 25th, 2019 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1427043967 | NPPES |
| Texas | MEDICAID | 1560930-03 |
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