Dr. Mark Grogan Tusa
Dermatologist
409 W Adams Ave
Temple
, Texas 76501-4211
Dr. Mark Grogan Tusa
Dermatologist
409 W Adams Ave
Temple
, Texas 76501-4211
(254) 742-3775
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About
Features
Specialties
- Dermatologist
Languages spoken
- English
Location
First Address
- Dr. Mark Grogan Tusa
- 409 W Adams Ave
- Temple, TX
- Zip : 76501-4211
- Phone : (254) 742-3775
Second Address
- Dr. Mark Grogan Tusa
- 409 W Adams Ave
- Temple, TX
- Zip : 76501-4211
- Phone : (254) 742-3775
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207N00000X | Dermatologist | M8395 | TX |
National Provider Identifier
| NPI | 1033395074 |
|---|---|
| Provider Name | Dr. Mark Grogan Tusa |
| First Address | Temple, TX 76501-4211 |
| Second Address | Temple, TX 76501-4211 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/01/2008 |
| Last Update Date | 23/11/2009 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.