Provider Demographics
NPI:1376592469
Name:JENKINS, MARK SCHERING (MD)
Entity Type:Individual
Prefix:
First Name:MARK
Middle Name:SCHERING
Last Name:JENKINS
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2855 GRAMERCY ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77025-1756
Mailing Address - Country:US
Mailing Address - Phone:713-668-6828
Mailing Address - Fax:713-558-8785
Practice Address - Street 1:333 N. RIVERSHIRE DR.
Practice Address - Street 2:SUITE 160
Practice Address - City:CONROE
Practice Address - State:TX
Practice Address - Zip Code:77304-2711
Practice Address - Country:US
Practice Address - Phone:936-441-2020
Practice Address - Fax:936-756-0656
Is Sole Proprietor?:No
Enumeration Date:2006-05-08
Last Update Date:2011-06-29
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXE1205207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
4549280OtherAETNA
TX1225419-01Medicaid
2317432OtherBCBS LINK
180011212OtherRAILROAD MEDICARE
83930JOtherBLUE CROSS
83930JOtherBLUE CROSS
C17432Medicare UPIN