Active NPI
Mark M Altenau MD PA
- Otology & Neurotology Physician
- Dallas, TX
National Provider Identifier
1124337936
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otology & Neurotology Physician
- Legal business name
- MARK M ALTENAU MD PA
- Practice address
- 7777 Forest LN
#B434
Dallas, TX 75230-2505 - Phone
- (972) 566-7888
- Fax
- (972) 566-7833
- NPI assigned
- Sep 28, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Mark M Altenau, M.D.
- Title
- Physician
- Phone
- (972) 566-7888
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otology & Neurotology Physician | 207YX0901X | Primary |
Addresses
Primary practice location
7777 Forest LN
#B434
Dallas, TX 75230-2505
Mailing address
7777 Forest LN
#B434
Dallas, TX 75230-2505
Phone (972) 566-7888
National Provider Directory
National Provider DirectoryLocations
7777 Forest Ln
Ste B434
Dallas, TX 75230
Phone (281) 636-5499
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1285632000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1287705600000",
"number": "1124337936",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7777 FOREST LN",
"address_2": "#B434",
"city": "DALLAS",
"state": "TX",
"postal_code": "752302505",
"telephone_number": "972-566-7888",
"fax_number": "972-566-7833"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7777 FOREST LN",
"address_2": "#B434",
"city": "DALLAS",
"state": "TX",
"postal_code": "752302505",
"telephone_number": "972-566-7888",
"fax_number": "972-566-7833"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARK M ALTENAU MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2010-09-28",
"last_updated": "2010-10-22",
"status": "A",
"authorized_official_last_name": "ALTENAU",
"authorized_official_first_name": "MARK",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "972-566-7888",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207YX0901X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Otolaryngology, Otology & Neurotology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.