Provider Demographics
NPI:1851511133
Name:MARK S. BARLOW, M.D., P.A.
Entity type:Organization
Organization Name:MARK S. BARLOW, M.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:S
Authorized Official - Last Name:BARLOW
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:281-333-8999
Mailing Address - Street 1:14917 EL CAMINO REAL UNIT 590585
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77259-0923
Mailing Address - Country:US
Mailing Address - Phone:281-333-8999
Mailing Address - Fax:281-333-8989
Practice Address - Street 1:1616 CLEAR LAKE CITY BLVD STE 102
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77062-8069
Practice Address - Country:US
Practice Address - Phone:281-333-8999
Practice Address - Fax:281-333-8989
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-27
Last Update Date:2020-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM10172086S0122X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00510ZMedicare PIN