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Contact Information

J MARK PALMER, MD PA
800 8TH AVENUE
#426
FORT WORTH, TX76104
 Phone: 817-334-0686
 Fax: 817-334-0689
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Otolaryngology

207Y00000X 04 Physician/Otolaryngology
Indicates primary specialty

NPI Profile & details for J MARK PALMER MD PA · (Female)

NPI # 1215297817
Status Active
Credentials
Entity Individual
Enumeration date 05/17/2012
Last updated 05/17/2012 - About 14 years ago
Sole proprietor 1 Not specified
Identifiers
  • TX Medicaid 134819505
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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