Provider Demographics
NPI:1225044977
Name:TOMPKINS, MARK H (DPM)
Entity Type:Individual
Prefix:
First Name:MARK
Middle Name:H
Last Name:TOMPKINS
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4402 VANCE JACKSON RD STE 146
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78230-5333
Mailing Address - Country:US
Mailing Address - Phone:210-341-2202
Mailing Address - Fax:210-341-0706
Practice Address - Street 1:4402 VANCE JACKSON RD STE 146
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78230-5333
Practice Address - Country:US
Practice Address - Phone:210-341-2202
Practice Address - Fax:210-341-0706
Is Sole Proprietor?:No
Enumeration Date:2006-08-01
Last Update Date:2011-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1301213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXTXB131507Medicare PIN
TXTXB131508Medicare PIN