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Contact Information

MARK E ATHANS, LSA
15103 TX-75
#242
WILLIS, TX77378
 Phone: 214-227-2457
 Fax: 214-764-0880
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical Assistant

246ZC0007X
Indicates primary specialty

NPI Profile & details for MARK E ATHANS · (Male)

NPI Number 1093833576
Status Active
Credentials LSA
Entity Individual
Enumeration date 03/26/2007
Last updated 08/26/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • TX License # SA00029
  • TX Other 0004JR BCBS PROVIDER NUMBER
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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