| Mark A. Dodson PLLC | |
|
1521 S Staples St Ste 605a Corpus Christi TX 78404-3166 | |
| (361) 853-5678 | |
| (361) 853-5680 |
| Full Name | Mark A. Dodson PLLC |
|---|---|
| Speciality | Family Medicine |
| Location | 1521 S Staples St Ste 605a, Corpus Christi, Texas |
| Authorized Official Name and Position | Mark A. Dodson (OWNER/PHYSICIAN) |
| Authorized Official Contact | 3168535678 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mark A. Dodson PLLC 1521 S Staples St Ste 605a Corpus Christi TX 78404-3166 Ph: (361) 853-5678 | Mark A. Dodson PLLC 1521 S Staples St Ste 605a Corpus Christi TX 78404-3166 Ph: (361) 853-5678 |
| NPI Number | 1669794731 |
|---|---|
| Provider Enumeration Date | 02/17/2010 |
| Last Update Date | 10/09/2023 |
| Certification Date | 10/09/2023 |
| Medicare PECOS PAC ID | 5092843151 |
|---|---|
| Medicare Enrollment ID | O20100511000258 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669794731 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| Provider Name | Mark a Dodson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730297821 PECOS PAC ID: 1153429139 Enrollment ID: I20070614000614 |
| Provider Name | Jami Lynn Dodson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942559331 PECOS PAC ID: 5092949883 Enrollment ID: I20131010000531 |
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