Provider Demographics
NPI:1487858569
Name:MARKHAM, JEFFREY COLLINS (MD)
Entity Type:Individual
Prefix:
First Name:JEFFREY
Middle Name:COLLINS
Last Name:MARKHAM
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:P O BOX 362
Mailing Address - Street 2:
Mailing Address - City:COPPELL
Mailing Address - State:TX
Mailing Address - Zip Code:75019-0362
Mailing Address - Country:US
Mailing Address - Phone:877-887-1784
Mailing Address - Fax:877-682-5167
Practice Address - Street 1:3305 CORINTH PKWY
Practice Address - Street 2:
Practice Address - City:CORINTH
Practice Address - State:TX
Practice Address - Zip Code:76208-5380
Practice Address - Country:US
Practice Address - Phone:877-887-1784
Practice Address - Fax:877-682-5167
Is Sole Proprietor?:No
Enumeration Date:2007-06-13
Last Update Date:2023-11-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXM53522085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology