Mark Brent, LVN
Individual provider Active NPI Licensed Vocational Nurse · Bastrop, TX
NPI 1487986378 · NPPES record last updated Feb 3, 2010
Key facts
- NPI
- 1487986378
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Vocational Nurse 164X00000X
- License
- 104432 (TX)
- Practice address
- 181 S Buckhorn Dr
Bastrop, TX 78602-5602 - Phone
- (515) 321-3755
- NPI assigned
- Feb 3, 2010
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 104432 | TX | MD | Licensed Vocational Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Vocational Nurse | 164X00000X | 104432 | TX | Yes |
Addresses
Primary practice location
181 S Buckhorn Dr
Bastrop, TX 78602-5602
Mailing address
181 S Buckhorn Dr
Bastrop, TX 78602-5602
Phone (515) 321-3755
Other providers in Bastrop, TX
- Mark Ellen Bowles
- Maria A Sandra Brady
- Lesley Marie Bragg
- Brainwell Psychiatry and Mental Health PLLC
- Ashley Brancato
- Nathan John Brewerton
- Elizabeth Bridges
- Dennis Dale Brittain
- Michele Lynn Brower
- Chara De'Andre Brown
All providers in Bastrop, TX · Licensed Vocational Nurse in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 3, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.