MARK ALI BAHREINI


Address: 6928 Amethyst Ln, Plano, TX 75023-1938
Phone: (214) 714-4782

MARK ALI BAHREINI (NPI# 1396260147) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1396260147
Entity Type Individual
Full Name MARK ALI BAHREINI
Credential PA-C
Practice Address 6928 Amethyst Ln
Plano
TX 75023-1938
Practice Telephone (214) 714-4782
Mailing Telephone 2147144782
Enumeration Date 2017-08-12
Last Update Date 2017-08-12
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
PA11374 TX Physician Assistants & Advanced Practice Nursing Providers
N 363AS0400X Physician Assistant
Specialization: Surgical Technologist
PA11474 TX Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 6928 AMETHYST LN
City PLANO
State TX
Zip Code 75023-1938

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1902330384 Applegate Health Services, Inc Clinic/Center 3303 N. Central Expressway, Suite 210, Plano, TX 75023 2017-04-12
1821529603 Emerson Speech and Consulting Speech-Language Pathologist 6565 Independence Pkwy, Plano, TX 75023 2017-03-23
1033502018 Marquis Hines Occupational Therapy Assistant 701 Legacy Dr Apt 1224, Plano, TX 75023 2015-03-14
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1568850899 Parvaneh Yancheshmeh Azimi Nurse Practitioner 2045 Hawken Dr, Plano, TX 75023 2015-01-09
1568866358 Byungwon Choi Chiropractor 2050 W. Spring Creek Pkwy Suite 208, Plano, TX 75023 2014-10-22
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1083264766 Sarah Chong Kim Physician Assistant 3212 Saint Ives Ct, Plano, TX 75075-3430 2019-09-16
1174997704 Sydney Marie Kromer Physician Assistant 1713 Endicott Dr, Plano, TX 75025-3057 2015-11-19
1275946295 Naveeda Farooqi Physician Assistant 9600 Coit Rd Apt 922, Plano, TX 75025-8226 2014-06-06
1134468036 Elizabeth Ann Munse Physician Assistant 3504 Lakebrook Dr, Plano, TX 75093-7520 2013-02-12
1679731350 Brittany Dawn Epstein Physician Assistant 4001 W 15th St Ste 245, Plano, TX 75093-5839 2008-05-29
1902951296 Barbara Lynn Jacinto Physician Assistant 3900 American Dr Ste 203, Plano, TX 75075-6190 2007-01-24
1164509881 Scott Gregory Bearden Physician Assistant 901 W 15th St, Plano, TX 75075-5134 2006-11-01
1285641068 Heidi Beth Cook Physician Assistant 5425 W Spring Creek Pkwy Ste 265, Plano, TX 75024-4344 2006-08-02
1598790917 Kathy Johnson Physician Assistant 6124 W Parker Rd Ste 330, Plano, TX 75093-8125 2006-07-12
1639133267 Christina Hope Thibodeaux Physician Assistant 5509 Pleasant Valley Dr, Suite 60, Plano, TX 75023-5248 2006-04-12
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Competitor

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City PLANO
Zip Code 75023

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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