Mark Dirnberger DO PA
Neuromusculoskeletal Medicine & OMM in Arlington, TX. Organization (NPI-2).
NPI number1801078753
StatusActive
Last updated in NPPESApr 28, 2022
Details
- NPI
- 1801078753
- Entity type
- Organization (NPI-2)
- Legal business name
- Mark Dirnberger DO PA
- Organization subpart
- No
- Enumeration date
- Dec 3, 2007
- Certification date
- Feb 11, 2021
- Last updated
- Apr 28, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 204D00000X | Neuromusculoskeletal Medicine & OMM | L5305 | TX | Yes |
| 208VP0000X | L5305 | TX |
Practice location
2001 Se Green Oaks Blvd.Suite # 130
Arlington, TX 76018-0952
Phone 817-419-6111 · Fax 817-572-7982
Mailing address
74 Regency PkwyMansfield, TX 76063-7816
Phone 817-419-6111 · Fax 817-572-7982
Authorized official
Mark A Dirnberger
Owner
8174196111
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