Mark Allen Hetzer, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

12583 Issued in TX

Practice address

4802 E Sam Houston Pkwy S
Suite 150
Pasadena, TX 77505

Phone

(281) 991-3002

Fax

(281) 991-3022

NPI assigned

Jul 7, 2015

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Robert a Barton and Associates

  • Rehabilitation Chiropractor
  • Pasadena, TX
  • NPI 1801069117
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1436227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436227200000",
    "number": "1144603390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4802 E SAM HOUSTON PKWY S",
            "address_2": "SUITE 150",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "77505",
            "telephone_number": "281-991-3002",
            "fax_number": "281-991-3022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4802 E SAM HOUSTON PKWY S",
            "address_2": "SUITE 150",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "77505",
            "telephone_number": "281-991-3002",
            "fax_number": "281-991-3022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HETZER",
        "first_name": "MARK",
        "middle_name": "ALLEN",
        "name_prefix": "Mr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-07",
        "last_updated": "2015-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "12583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aaron Henry, M.S.
• Louise Cooper Henson, MD
• Devin John Herd, DDS
• Heinz J Hermann, MD
• Carlos Antonio Hernandez Sr., MD
• Amanda Hicks, PT
• Alejandro Carlos Hidalgo Parada, MD
• David Dewey Higginbotham, D.C.
• Angelica Y Higgins, MD
• Jaenikque Kaye Higgins, P.T.

• Chiropractor in Pasadena, TX
• Providers in Pasadena, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.