Provider Demographics
NPI:1275830408
Name:DARNER, MARK ALLEN (DC)
Entity Type:Individual
Prefix:
First Name:MARK
Middle Name:ALLEN
Last Name:DARNER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2530 LIBERTY LN
Mailing Address - Street 2:
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76209-1541
Mailing Address - Country:US
Mailing Address - Phone:214-227-9644
Mailing Address - Fax:512-366-9789
Practice Address - Street 1:2201 S I-35 E
Practice Address - Street 2:
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76205-8192
Practice Address - Country:US
Practice Address - Phone:940-484-2525
Practice Address - Fax:512-366-9789
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-24
Last Update Date:2011-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX5958111N00000X, 111NN0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No111NN0400XChiropractic ProvidersChiropractorNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX5958OtherTBCE