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Contact Information

MARK H BUSSELL, MD
6116 OAKBEND TRAIL
112
FORT WORTH, TX76132-3926
 Phone: 817-346-7800
 Fax: 817-346-7408
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Medicine & Rehabilitation

208100000X 25 Physician/Physical Medicine and Rehabilitation
Indicates primary specialty

NPI Profile & details for MARK H BUSSELL · (Male)

NPI # 1922041599
Status Active
Credentials MD
Entity Individual
Enumeration date 06/13/2006
Last updated 12/01/2010 - About 16 years ago
Sole proprietor 1 Yes
Identifiers
  • TX License # J0452
  • TX Medicaid 153003202
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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