Provider Demographics
NPI:1831165653
Name:TROXLER, MARK ANTHONY (DO)
Entity type:Individual
Prefix:DR
First Name:MARK
Middle Name:ANTHONY
Last Name:TROXLER
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:5056 CASTLE CREEK LN
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093-4066
Mailing Address - Country:US
Mailing Address - Phone:972-369-0739
Mailing Address - Fax:972-369-0726
Practice Address - Street 1:7651 ELDORADO PKWY STE 100
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75070-1735
Practice Address - Country:US
Practice Address - Phone:972-369-0739
Practice Address - Fax:972-369-0726
Is Sole Proprietor?:No
Enumeration Date:2006-02-23
Last Update Date:2020-07-20
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OK3389207P00000X
TXK9922207R00000X, 207RS0010X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RS0010XAllopathic & Osteopathic PhysiciansInternal MedicineSports Medicine
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX393249302Medicaid
TX037742601Medicaid
TX0377426-02Medicaid
G43712Medicare UPIN
TX037742601Medicaid