Individual provider · Type 1 NPI
Mildred H. Marks, REGISTERED NURSE
Case Management Registered Nurse · Jbsa Fort Sam Houston, TX
NPI number
1679239396
Active
Practice location
3551 Roger Brooke Dr
Jbsa Fort Sam Houston, TX 78234-4504
Mailing address
3551 Roger Brooke Drive
Spring Branch, TX 78234
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Case Management Registered Nurse Primary | 163WC0400X | 572201 (TX) |
Case Management Registered Nurse: Definition to come...
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About NPI 1679239396
Mildred H. Marks, REGISTERED NURSE's National Provider Identifier is 1679239396, issued on Nov 17, 2021. The primary taxonomy on file is Case Management Registered Nurse (163WC0400X), and the practice location is in Jbsa Fort Sam Houston, TX. The record was last updated on Nov 17, 2021.