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C Mark Capistrano, MD
Hematology & Oncology Physician in Bryan, Texas
NPI 1205905494

C Mark Capistrano is a Hematology & Oncology Physician based in Bryan, TX and is specialized in Hematology & Oncology. C Mark Capistrano practices in Bryan, TX and has the professional credentials of MD. The NPI Number for C Mark Capistrano is 1205905494 and holds a License No. J8943 (Texas).

The current practice location address for C Mark Capistrano is 3201 University Dr E, Bryan, TX and can be reached out via phone at 979-731-8558 and via fax at 979-731-8654.

Location: 3201 University Dr E, Bryan, TX, 77802-3475
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1205905494
Provider Name
C Mark Capistrano
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
3201 University Dr E, Bryan, TX, 77802-3475
Phone Number
979-731-8558
Fax Number
979-731-8654
Provider Enumeration Date
11/06/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8V4920 01 TX BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
3201 University Dr E
City
Bryan
State
Texas
Zip
77802-3475
Phone Number
979-731-8558
Fax Number
979-731-8654
person
Provider Business Mailing Address Details
Address
3201 University Dr E
City
Bryan
State
Texas
Zip
77802-3475
Phone Number
979-731-8558
Fax Number
979-731-8654
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Hematology & Oncology
Taxonomy
207RH0003X
License No.
J8943 (Texas)
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
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