Provider Demographics
NPI:1871512475
Name:AKIN, MARK D (MD)
Entity Type:Individual
Prefix:DR
First Name:MARK
Middle Name:D
Last Name:AKIN
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Gender:M
Credentials:MD
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Mailing Address - Street 1:12200 RENFERT WAY
Mailing Address - Street 2:SUITE 100
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78758-5614
Mailing Address - Country:US
Mailing Address - Phone:512-451-8211
Mailing Address - Fax:512-450-1146
Practice Address - Street 1:12200 RENFERT WAY
Practice Address - Street 2:SUITE 100
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78758-5614
Practice Address - Country:US
Practice Address - Phone:512-451-8211
Practice Address - Fax:512-450-1146
Is Sole Proprietor?:No
Enumeration Date:2006-07-18
Last Update Date:2014-09-04
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Provider Licenses
StateLicense IDTaxonomies
TXF3699207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXB20823Medicare UPIN