Provider Demographics
NPI:1598867327
Name:PLUMMER, MARK EDWARD (DC)
Entity Type:Individual
Prefix:DR
First Name:MARK
Middle Name:EDWARD
Last Name:PLUMMER
Suffix:
Gender:M
Credentials:DC
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Mailing Address - Street 1:2646 SOUTH LOOP W
Mailing Address - Street 2:#650
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77054-2665
Mailing Address - Country:US
Mailing Address - Phone:713-838-8600
Mailing Address - Fax:713-838-8488
Practice Address - Street 1:2646 SOUTH LOOP W
Practice Address - Street 2:#650
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77054-2665
Practice Address - Country:US
Practice Address - Phone:713-838-8600
Practice Address - Fax:713-838-8488
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-02
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TX5109111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXT93663Medicare UPIN