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Dr. Mark W Coburn, MD
Diagnostic Radiology Physician in Round Rock, Texas
NPI 1811035694

Mark W Coburn is a Diagnostic Radiology Physician based in Dallas, TX and is specialized in Diagnostic Radiology. Mark W Coburn practices in Round Rock, TX and has the professional credentials of MD. The NPI Number for Mark W Coburn is 1811035694 and holds a License No. 108365 (Texas).

The current practice location address for Mark W Coburn is 300 University Blvd, Round Rock, TX and can be reached out via phone at 512-509-0100 and via fax at 512-218-6330.

Location: 300 University Blvd, Round Rock, TX, 75284-4658
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1811035694
Provider Name
Mark W Coburn
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
300 University Blvd, Round Rock, TX, 75284-4658
Phone Number
512-509-0100
Fax Number
512-218-6330
Provider Enumeration Date
02/02/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
173098 01 MO MO BLUE SHIELD
140791001 05 AR
205007503 05 MO
98569 01 AR ARK BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
300 University Blvd
City
Round Rock
State
Texas
Zip
78665-1032
Phone Number
512-509-0100
Fax Number
512-218-6330
person
Provider Business Mailing Address Details
Address
300 University Blvd
City
Round Rock
State
Texas
Zip
78665-1032
Phone Number
512-509-0100
Fax Number
512-218-6330
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
108365 (Missouri)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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