| Mark B. Blick D.o., P.a. | |
|
6565 West Loop South Ste 300 Bellaire TX 77401-3500 | |
| (713) 850-7272 | |
| (713) 877-0970 |
| Full Name | Mark B. Blick D.o., P.a. |
|---|---|
| Speciality | Internal Medicine |
| Location | 6565 West Loop South, Bellaire, Texas |
| Authorized Official Name and Position | Zandra Butler (HUMAN RESOURCES) |
| Authorized Official Contact | 7138507272 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mark B. Blick D.o., P.a. 6565 West Loop South Ste 300 Bellaire TX 77401-3500 Ph: (713) 850-7272 | Mark B. Blick D.o., P.a. 6565 West Loop South Ste 300 Bellaire TX 77401-3500 Ph: (713) 850-7272 |
| NPI Number | 1700926268 |
|---|---|
| Provider Enumeration Date | 02/07/2007 |
| Last Update Date | 10/15/2010 |
| Medicare PECOS PAC ID | 4880625961 |
|---|---|
| Medicare Enrollment ID | O20050829000549 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700926268 | NPI | - | NPPES |
| 0014HW | Other | TX | BLUE CROSS BLUE SHIELD |
| 900004448 | Other | TX | MEDICARE RAILROAD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | G3933 (Texas) | Primary |
| Provider Name | Mark B Blick |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811912041 PECOS PAC ID: 4981635075 Enrollment ID: I20110322000740 |
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