Individual provider · Type 1 NPI
Mark J. Kubala, MD
Specialist · Beaumont, TX
NPI number
1497755391
Active
Practice location
5235 Merlot Dr
Beaumont, TX 77706-2577
Other practice locations
- 2965 Harrison St Ste 111, Beaumont, TX 77702-1148 · (409) 898-7800
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Neurological Surgery Physician | 207T00000X | C0720 (TX) |
| Specialist Primary | 174400000X | C0720 (TX) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1497755391
Mark J. Kubala, MD's National Provider Identifier is 1497755391, issued on Jul 21, 2005. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Beaumont, TX. The record was last updated on Sep 12, 2023.