Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223X0400X | Orthodontists | 13929 | TX |
NPI | 1003902461 |
---|---|
Provider Name | Dr. Mark Stephen Ozier |
First Address | Plano, TX 75093-5175 |
Second Address | Plano, TX 75093-5175 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/10/2006 |
Last Update Date | 08/07/2007 |