Provider Demographics
NPI:1932141033
Name:MESSING, MARK JOSEPH (MD)
Entity Type:Individual
Prefix:DR
First Name:MARK
Middle Name:JOSEPH
Last Name:MESSING
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 911230
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75391-1230
Mailing Address - Country:US
Mailing Address - Phone:972-997-8000
Mailing Address - Fax:972-437-9605
Practice Address - Street 1:1615 HOSPITAL PKWY
Practice Address - Street 2:SUITE 300
Practice Address - City:BEDFORD
Practice Address - State:TX
Practice Address - Zip Code:76022-5934
Practice Address - Country:US
Practice Address - Phone:817-354-5581
Practice Address - Fax:817-359-9062
Is Sole Proprietor?:No
Enumeration Date:2006-06-12
Last Update Date:2013-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH7467207VX0201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VX0201XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologic Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX135804602Medicaid
TX135804603Medicaid
TX135804605Medicaid
TX135804608Medicaid
TX135804609Medicaid
TX135804610Medicaid
TX135804601Medicaid
TX135804611Medicaid
TX175528201Medicaid
TX135804607Medicaid
TX8R1505OtherBLUE CROSS OF TX
TX135804606Medicaid
TX8R1505OtherBLUE CROSS OF TX
TX135804609Medicaid
TX135804603Medicaid
TX135804606Medicaid
TX135804607Medicaid
TX135804601Medicaid