Individual provider · NPI-1

Markus A Bader, PA

Physician Assistant, Surgical · Rockwall, TX

NPI number1174730816

StatusActive

Last updated in NPPESJul 21, 2022

Details

NPI: 1174730816
Entity type: Individual (NPI-1)
Name: Mr. Markus A Bader
Credential: PA
Sex: Male
Sole proprietor: No
Enumeration date: May 16, 2007
Certification date: Mar 2, 2022
Last updated: Jul 21, 2022

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
363AS0400X	Physician Assistant, Surgical	PA09849	TX	Yes
363A00000X	Physician Assistant	99-PA26	NM

Practice location

3142 Horizon Rd Ste 100
Rockwall, TX 75032-7815

Phone 972-772-9600 · Fax 972-772-9601

Mailing address

3142 Horizon Rd Ste 100
Rockwall, TX 75032-7815

Phone 972-772-9600 · Fax 972-772-9601

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