Provider Demographics
NPI:1922040872
Name:DOERNER, MARK F (MD)
Entity Type:Individual
Prefix:DR
First Name:MARK
Middle Name:F
Last Name:DOERNER
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Gender:M
Credentials:MD
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Mailing Address - Street 1:1111 RAINTREE CIR
Mailing Address - Street 2:SUITE 240
Mailing Address - City:ALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:75013-4901
Mailing Address - Country:US
Mailing Address - Phone:972-908-3455
Mailing Address - Fax:972-908-3477
Practice Address - Street 1:1111 RAINTREE CIR
Practice Address - Street 2:SUITE 240
Practice Address - City:ALLEN
Practice Address - State:TX
Practice Address - Zip Code:75013-4901
Practice Address - Country:US
Practice Address - Phone:972-908-3455
Practice Address - Fax:972-908-3477
Is Sole Proprietor?:No
Enumeration Date:2006-06-12
Last Update Date:2008-02-25
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Provider Licenses
StateLicense IDTaxonomies
TXL8045207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXP00414826OtherRAILROAD MEDICARE
I05256Medicare UPIN
TX8J1585Medicare PIN