Provider Demographics
NPI:1770645046
Name:NORWID, MARK RAYMOND (MD)
Entity Type:Individual
Prefix:DR
First Name:MARK
Middle Name:RAYMOND
Last Name:NORWID
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:8224 TEAKWOOD DR
Mailing Address - Street 2:
Mailing Address - City:WOODWAY
Mailing Address - State:TX
Mailing Address - Zip Code:76712-2426
Mailing Address - Country:US
Mailing Address - Phone:254-772-9293
Mailing Address - Fax:254-772-9245
Practice Address - Street 1:6901 MEDICAL PKWY
Practice Address - Street 2:
Practice Address - City:WACO
Practice Address - State:TX
Practice Address - Zip Code:76712-7910
Practice Address - Country:US
Practice Address - Phone:254-751-4180
Practice Address - Fax:254-751-4177
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-14
Last Update Date:2011-07-05
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Provider Licenses
StateLicense IDTaxonomies
TXK3363207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine