Basic Information
| Provider Information | |||||||||
| NPI: | 1932141033 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | MESSING | ||||||||
| FirstName: | MARK | ||||||||
| MiddleName: | JOSEPH | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 911230 | ||||||||
| Address2: | |||||||||
| City: | DALLAS | ||||||||
| State: | TX | ||||||||
| PostalCode: | 753911230 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9729978000 | ||||||||
| FaxNumber: | 9724379605 | ||||||||
| Practice Location | |||||||||
| Address1: | 1615 HOSPITAL PKWY | ||||||||
| Address2: | SUITE 300 | ||||||||
| City: | BEDFORD | ||||||||
| State: | TX | ||||||||
| PostalCode: | 760225934 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8173545581 | ||||||||
| FaxNumber: | 8173599062 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/12/2006 | ||||||||
| LastUpdateDate: | 05/08/2013 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207VX0201X | H7467 | TX | Y | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology | Gynecologic Oncology |
ID Information
| ID | Type | State | Issuer | Description | 135804602 | 05 | TX | MEDICAID | 135804603 | 05 | TX | MEDICAID | 135804605 | 05 | TX | MEDICAID | 135804608 | 05 | TX | MEDICAID | 135804609 | 05 | TX | MEDICAID | 135804610 | 05 | TX | MEDICAID | 135804601 | 05 | TX | MEDICAID | 135804611 | 05 | TX | MEDICAID | 175528201 | 05 | TX | MEDICAID | 135804607 | 05 | TX | MEDICAID | 8R1505 | 01 | TX | BLUE CROSS OF TX | OTHER | 135804606 | 05 | TX | MEDICAID |