Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | K8748 | TX |
N | 207XP3100X | Pediatric Orthopaedic Surgeon | K8748 | TX |
Y | 207XS0117X | Orthopaedic Spine Surgeon | K8748 | TX |
NPI | 1346341005 |
---|---|
Provider Name | Dr. Mark A Flood |
First Address | Austin, TX 78727-4109 |
Second Address | Austin, TX 78727-4109 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/09/2006 |
Last Update Date | 12/05/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
F95226 | (02) |