Mark Renfro (NPI# 1003819913, PAC ID# 3274565221) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEUROSURGERY.
| Nation Provider ID (NPI) | 1003819913 |
| PAC ID by PECOS | 3274565221 |
| Professional Enrollment ID | I20110103000248 |
| Full Name | Mark Renfro |
| Organization Legal Name | TYLER NEUROSURGICAL ASSOCIATES, P.A. |
| Address |
700 Olympic Plaza Cir Suite 850 Tyler TX 75701-1955 |
| Phone Number | 9035952441 |
| Gender | M |
| Medical School | UNIVERSITY OF FLORIDA COLLEGE OF MEDICINE |
| Graduation Year | 1990 |
| Primary Specialty | NEUROSURGERY |
| Group Practice PAC ID | 7810929833 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450083 | EAST TEXAS MEDICAL CENTER |
| 450864 | BAYLOR SCOTT & WHITE TEXAS SPINE & JOINT HOSPITAL |
| 450102 | MOTHER FRANCES HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 700 Olympic Plaza Cir, Suite 850, Tyler, TX 75701-1955 | 9035952441 | TYLER NEUROSURGICAL ASSOCIATES, P.A. |
| Organization Legal Name | TYLER NEUROSURGICAL ASSOCIATES, P.A. |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Paul Detwiler | Neurosurgery | Tyler Neurosurgical Associates, P.a. | 700 Olympic Plaza Cir, Suite 850, Tyler, TX 75701-1955 |
| Thomas Grahm | Neurosurgery | Tyler Neurosurgical Associates, P.a. | 700 Olympic Plaza Cir, Suite 850, Tyler, TX 75701-1955 |
| Mayra A Acord | Nurse Practitioner | Tyler Neurosurgical Associates, P.a. | 700 Olympic Plaza Cir, Suite 850, Tyler, TX 75701-1955 |
| Stephen Nalbach | Neurosurgery | Tyler Neurosurgical Associates, P.a. | 700 Olympic Plaza Cir, Suite 850, Tyler, TX 75701-1955 |
| Street Address |
700 OLYMPIC PLAZA CIR SUITE 850 |
| City | TYLER |
| State | TX |
| Zip | 75701-1955 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert M Sutherland | Pain Management | 700 Olympic Plaza Cir, Suite 404, Tyler, TX 75701-1952 | |
| Kurt S Reuland | Diagnostic Radiology | Neuro Ir of East Texas | 700 Olympic Plaza Cir, Suite 850, Tyler, TX 75701-1955 |
| David Brent Kerns | Vascular Surgery | East Texas Vascular Associates, P.a. | 700 Olympic Plaza Cir, Suite 510, Tyler, TX 75701-1952 |
| Michael D Williams | Diagnostic Radiology | Neuro Ir of East Texas | 700 Olympic Plaza Cir, Suite 850, Tyler, TX 75701-1955 |
| Jessica C Charest | Obstetrics/gynecology | Tyler Obstetrics and Gynecology L L P | 700 Olympic Plaza Cir, Suite 602, Tyler, TX 75701-1954 |
| Robert L Boyne | Neurology | 700 Olympic Plaza Cir, Suite 912, Tyler, TX 75701-1955 | |
| Andrei Gasic | Gastroenterology | Etmc Physician Group, Inc. | 700 Olympic Plaza Cir, Suite 420, Tyler, TX 75701-1952 |
| George M Plotkin | Neurology | Etmc Physician Group, Inc. | 700 Olympic Plaza Cir, Suite 850, Tyler, TX 75701-1955 |
| David R Huston | Physician Assistant | Etmc Physician Group, Inc. | 700 Olympic Plaza Cir, Tyler, TX 75701-1954 |
| James Harrison | General Surgery | East Texas Vascular Associates, P.a. | 700 Olympic Plaza Cir, Suite 510, Tyler, TX 75701-1952 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jose L Enriquez | Diagnostic Radiology | Tyler Radiology Associates, Pa | 1100 S Beckham, Tyler, TX 75701 |
| Frank P Reuter Jr. | Internal Medicine | 712 S Bois D Arc Ave, Tyler, TX 75701-1503 | |
| Tammy L Michaelsen | Chiropractic | Michaelsen Chiropractic Center, P.C. | 645 S Broadway Ave, Suite 1, Tyler, TX 75701-1676 |
| Mark R Michaelsen | Chiropractic | Michaelsen Chiropractic Center, P.C. | 645 S Broadway Ave, Suite 1, Tyler, TX 75701-1676 |
| James Louis Wasson | Obstetrics/gynecology | 649 S Broadway Ave, Suite 2, Tyler, TX 75701-1677 | |
| Michael C Ford | Ophthalmology | 714 Turtle Creek Dr, Tyler, TX 75701-1833 | |
| Rosalyn L Gooch | Certified Registered Nurse Anesthetist (crna) | Novamed Surgery Center of Tyler, Lp | 802 Turtle Creek Dr, Tyler, TX 75701-1900 |
| Evans S Smith | Emergency Medicine | 833 S Beckham Ave, Tyler, TX 75701-1905 | |
| Li-yu H Mitchell | Family Medicine | 833 S Beckham Ave, Tyler, TX 75701-1905 | |
| Joseph Leonard Decarlo | Urology | Etmc Physician Group, Inc. | 911 S Beckham Ave, Tyler, TX 75701-1907 |
| Find all physicians in zip 75701 | |||
| City | TYLER |
| Zip Code | 75701 |
| Specialty | NEUROSURGERY |
| City + Specialty | TYLER + NEUROSURGERY |
Please comment or provide details below to improve the information on Mark Renfro.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.