Mark a. Bishara, MD, PA

Primary specialty

SpecialistTaxonomy code 174400000X

License

236064 Issued in TX

Legal business name

MARK A. BISHARA, MD, PA

Practice address

550 N Walnut Creek Dr
Suite 120
Mansfield, TX 76063-3223

Phone

(817) 477-9000

Fax

(817) 887-5924

NPI assigned

Nov 5, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Mark A Bishara, M.D., P.A.

Title

President

Phone

(817) 477-9000

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael L Thornton, D.O.

  • Plastic and Reconstructive Surgery Physician
  • Mansfield, TX
  • NPI 1851333785
  NPD (past)

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

{
    "created_epoch": "1288915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288915200000",
    "number": "1376844456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 N WALNUT CREEK DR",
            "address_2": "SUITE 120",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760633223",
            "telephone_number": "817-477-9000",
            "fax_number": "817-887-5924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 N WALNUT CREEK DR",
            "address_2": "SUITE 120",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760633223",
            "telephone_number": "817-477-9000",
            "fax_number": "817-887-5924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK A. BISHARA, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-05",
        "last_updated": "2010-11-05",
        "status": "A",
        "authorized_official_last_name": "BISHARA",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-477-9000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., P.A."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "236064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arash Manzori, DO
• Donald Chris Mappes, PH.D.
• Marcia T Sampson MD PA
• Daniel Michael Margolis, DMD, MD
• Marian Zinnante MD, PA
• Markov 2 Inc.
• Latisha Shamecca Marks, R.D., L.D.
• Makayla Marquez
• Karagan Marshall
• Ashlee Marston-Hussen, PTA

• Specialist in Mansfield, TX
• Providers in Mansfield, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 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.

Verify at the official NPI Registry.