Walberg, Mark William
Walberg, Mark William is an individual health care provider with primary practice located at 3410 Worth St , Dallas TX 75246-2003. He recently has only one registered license in Allopathic & Osteopathic Physicians / Medical Oncology, which is considered as his primary health care specialty. Walberg, Mark William can be contacted via phone (214) 370-1000.Contact Information
Primary practice address
3410 Worth St
Dallas TX 75246-2003
Phone: (214) 370-1000
Fax: (214) 370-1026
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Medical Oncology | 207RX0202X | J6272 | Texas |
Profile Details
| NPI number | 1306884333 |
|---|---|
| LBN Legal business name | Walberg, Mark William |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 3rd, 2006 |
| Last updated | Oct 26th, 2011 - about 15 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 | 1306884333 | NPPES |
| Texas | MEDICAID | 116591205 | |
| Texas | Other | 8R1578 | |
| Texas | MEDICAID | 116591201 | |
| Texas | Other | 116591206 | |
| Texas | MEDICAID | 116591207 |
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