Provider Demographics
NPI:1346341005
Name:FLOOD, MARK A (DO)
Entity Type:Individual
Prefix:DR
First Name:MARK
Middle Name:A
Last Name:FLOOD
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Other - Last Name Type:
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Mailing Address - Street 1:4201 W PARMER LN
Mailing Address - Street 2:BUILDING A, SUITE 275
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78727-4109
Mailing Address - Country:US
Mailing Address - Phone:512-834-1300
Mailing Address - Fax:
Practice Address - Street 1:4201 W PARMER LN
Practice Address - Street 2:BUILDING A, SUITE 275
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78727-4109
Practice Address - Country:US
Practice Address - Phone:512-834-1300
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-26
Last Update Date:2010-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK8748207XS0117X, 207XP3100X, 207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0117XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Surgery of the Spine
No207XP3100XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryPediatric Orthopaedic Surgery
No207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
F95226Medicare UPIN