Provider Demographics
NPI:1629053186
Name:STRAUSS, MARK G (MD)
Entity Type:Individual
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First Name:MARK
Middle Name:G
Last Name:STRAUSS
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Gender:M
Credentials:MD
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Mailing Address - Street 1:7121 S PADRE ISLAND DR
Mailing Address - Street 2:STE 300
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78412-4938
Mailing Address - Country:US
Mailing Address - Phone:361-696-6200
Mailing Address - Fax:361-696-6020
Practice Address - Street 1:7121 S PADRE ISLAND DR
Practice Address - Street 2:STE. 300
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78412-4938
Practice Address - Country:US
Practice Address - Phone:361-696-6200
Practice Address - Fax:361-696-6054
Is Sole Proprietor?:No
Enumeration Date:2005-12-07
Last Update Date:2014-03-19
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Provider Licenses
StateLicense IDTaxonomies
TXE4090207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX116702503Medicaid
TX00097HOtherMEDICARE GROUP NUMBER
TX116702503Medicaid
TXC22345Medicare UPIN