Mark Lane Madenwald, MD Valid NPI

Individual provider · Emergency Medicine Physician · Flower Mound, TX

NPI

1932197662

Type

Individual (Type 1)

Primary specialty

Emergency Medicine Physician (Emergency Medicine)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

207P00000X

License number

J2173 (TX)

Sex

Male

Sole proprietor

Yes

Enumerated

2005-10-06

Last updated

2015-09-18