Mark Todd Middlebrooks (NPI# 1679692073, PAC ID# 9436324720) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
| Nation Provider ID (NPI) | 1679692073 |
| PAC ID by PECOS | 9436324720 |
| Professional Enrollment ID | I20111215000290 |
| Full Name | Mark Todd Middlebrooks |
| Address |
614 W Main St Suite 102 League City TX 77573-3770 |
| Phone Number | 2813324396 |
| Gender | M |
| Graduation Year | 1984 |
| Primary Specialty | CLINICAL SOCIAL WORKER |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 614 W Main St, Suite 102, League City, TX 77573-3770 | 2813324396 |
| Street Address |
614 W MAIN ST SUITE 102 |
| City | LEAGUE CITY |
| State | TX |
| Zip | 77573-3770 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gillian G Wooldridge | Family Medicine | Tmh Physician Associates Pllc | 2220 E League City Pkwy, 200 Houston Methodist Primary Care Grou, League City, TX 77573 |
| Kelly Herne Duncan | Dermatology | Advanced Dermatology and Skin Care Pa | 1650 League City Pkwy, Suite 300, League City, TX 77573 |
| Alexander George Marzuka | Dermatology | Advanced Dermatology and Skin Care Pa | 1650 League City Pkwy, Suite 300, League City, TX 77573 |
| Donald D Brown Jr. | Internal Medicine | Tmh Physician Associates Pllc | 2220 E League City Pkwy, 200 Houston Methodist Primary Care Grou, League City, TX 77573 |
| Juan Antonio Serrato Jr. | Orthopedic Surgery | Tmh Physician Associates Pllc | 2220 E League City Pkwy, Tmhpo Orthopedics Department, League City, TX 77573 |
| Michael W Pelster | Dermatology | Advanced Dermatology and Skin Care Pa | 1650 League City Pkwy, Suite 300, League City, TX 77573 |
| David M Washington | Internal Medicine | Tmh Physician Associates Pllc | 2220 E League City Pkwy, 200 Houston Methodist Primary Care Grou, League City, TX 77573 |
| Riju Chapagain Tiwari | Nurse Practitioner | Minuteclinic Diagnostic of Texas LLC | 5002 W Main St, League City, TX 77573-1694 |
| Tracy A Eickhoff | Optometry | 3510 W Main St, League City, TX 77573-1733 | |
| John Thomas Cottingham | Family Medicine | Urgent Clinics 6 LLC | 4420 W Main St A, Urgent Clinics Medical Care Creekside, League City, TX 77573-1737 |
| Find all physicians in zip 77573 | |||
| City | LEAGUE CITY |
| Zip Code | 77573 |
| Specialty | CLINICAL SOCIAL WORKER |
| City + Specialty | LEAGUE CITY + CLINICAL SOCIAL WORKER |
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| 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.