SearchTexas235Z00000X

Mark Ittleman

NPI 1912144957 · on the registry since 2009

Practice

Address
8739 Orchard Ridge Ln
Humble, TX 77338
Phone
(832) 233-2601

Registry record

Primary taxonomy
235Z00000X
235Z00000X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2009-01-13

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