Provider Demographics
NPI:1477544963
Name:ZUBER, MARK (DC)
Entity Type:Individual
Prefix:
First Name:MARK
Middle Name:
Last Name:ZUBER
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 1:8765 STOCKARD DR STE 303
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75034-8006
Mailing Address - Country:US
Mailing Address - Phone:972-733-0915
Mailing Address - Fax:972-674-2958
Practice Address - Street 1:8765 STOCKARD DR STE 303
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034-8006
Practice Address - Country:US
Practice Address - Phone:972-733-0915
Practice Address - Fax:972-674-2958
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-02
Last Update Date:2016-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDC7900111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8M0580OtherBLUE CROSS BLUE SHIELD
TX8M0580OtherBLUE CROSS BLUE SHIELD
TXV02044Medicare UPIN