Provider Demographics
NPI:1134122856
Name:BARLOW, MARK STEVEN (MD)
Entity Type:Individual
Prefix:DR
First Name:MARK
Middle Name:STEVEN
Last Name:BARLOW
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:PO BOX 590585
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77259-0585
Mailing Address - Country:US
Mailing Address - Phone:281-333-8999
Mailing Address - Fax:281-333-8989
Practice Address - Street 1:1616 CLEAR LAKE CITY BLVD STE 102
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77062-8069
Practice Address - Country:US
Practice Address - Phone:281-333-8999
Practice Address - Fax:281-333-8989
Is Sole Proprietor?:Yes
Enumeration Date:2005-05-27
Last Update Date:2020-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM1017208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXI43888Medicare UPIN
TX8F1148Medicare ID - Type Unspecified