Provider Demographics
NPI:1194930453
Name:VALENTE, MARK CHARLIE (DO)
Entity type:Individual
Prefix:DR
First Name:MARK
Middle Name:CHARLIE
Last Name:VALENTE
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:6200 PRESTON RD STE 300
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75024-2619
Mailing Address - Country:US
Mailing Address - Phone:972-707-0005
Mailing Address - Fax:888-992-6199
Practice Address - Street 1:6200 PRESTON RD STE 300
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75024-2619
Practice Address - Country:US
Practice Address - Phone:972-707-0005
Practice Address - Fax:888-992-6199
Is Sole Proprietor?:No
Enumeration Date:2007-05-11
Last Update Date:2021-05-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXN7365207XS0117X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0117XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Surgery of the Spine