Mark Deacon, RBT

NPI 1093641409 · on the registry since 2026

Practice

Address: 4927 Lake Ridge Pkwy Ste 120
Grand Prairie, TX 75052
Phone: (855) 782-7822
Organisation at this address: Applewhite Dental Pllc
Lake Ridge Eye Care Pa
Premier One Pharma Inc.
Envision Medical Management Llc
Pediatric Center Of Grand Prairie
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 58

Registry record

Primary taxonomy: 106S00000X
106S00000X
Licence states on file: TX
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2026-06-23

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas