| Mark D Holden, MD | |
|
Department Of Internal Medicine, 301 University Blvd, Route 0569, Galveston, TX 77555-0569 | |
| (409) 772-1176 | |
| Not Available |
| Full Name | Mark D Holden |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Location | Department Of Internal Medicine, Galveston, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447319991 | NPI | - | NPPES |
| 04-40165 | Other | EVERCARE | |
| 129074404 | Medicaid | TX | |
| 8V8102 | Other | BCBS TX | |
| P00690862 | Other | RR MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | H0456 (Texas) | Primary |
| Entity Name | Utmb Faculty Group Practice |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942241146 PECOS PAC ID: 3375456734 Enrollment ID: O20031112000438 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark D Holden, MD Department Of Internal Medicine, 301 University Blvd, Route 0569, Galveston, TX 77555-0569 Ph: (409) 772-1176 | Mark D Holden, MD Department Of Internal Medicine, 301 University Blvd, Route 0569, Galveston, TX 77555-0569 Ph: (409) 772-1176 |
Diaa Hamouda, MBBCH Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 301 University Blvd, Jsa 9.128, Galveston, TX 77555 Phone: 409-772-8031 Fax: 409-772-6940 | |
Syed Mustajab Hasan, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1005 Harborside Drive, Galveston, TX 77555 Phone: 409-762-2328 Fax: 832-632-7866 | |
Arielle Degueure, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 301 University Blvd, Galveston, TX 77555 Phone: 409-747-1883 Fax: 409-747-8579 | |
Olivia C Arriaza, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 301 University Blvd, Galveston, TX 77555 Phone: 409-747-1883 Fax: 409-747-8579 | |
Dr. Shawn Pua Eiko Nishi, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 301 University Blvd, Galveston, TX 77555 Phone: 409-643-4587 | |
Suyuan Tan, Internal Medicine Medicare: Medicare Enrolled Practice Location: 301 University Blvd, Galveston, TX 77555 Phone: 409-747-1883 | |
Dr. Erin Dindoruk, DO Internal Medicine Medicare: Medicare Enrolled Practice Location: 301 University Blvd, Galveston, TX 77555 Phone: 409-747-1883 |