Mark Carroll Eidson, MD
Family Medicine in Weatherford, TX. Individual provider (NPI-1).
NPI number1295726784
StatusActive
Last updated in NPPESJan 21, 2010
Details
- NPI
- 1295726784
- Entity type
- Individual (NPI-1)
- Name
- Mark Carroll Eidson
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Nov 2, 2005
- Last updated
- Jan 21, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | F3927 | TX | Yes |
Practice location
710 E Anderson StSte C
Weatherford, TX 76086-5870
Phone 817-599-9472 · Fax 817-458-0209
Mailing address
710 E Anderson StSte C
Weatherford, TX 76086-5870
Phone 817-599-9472 · Fax 817-458-0209
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