Provider Demographics
NPI:1174622740
Name:ESCHE, MARK ALLEN (MD)
Entity type:Individual
Prefix:DR
First Name:MARK
Middle Name:ALLEN
Last Name:ESCHE
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Gender:M
Credentials:MD
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Mailing Address - Street 1:4101 PARKSTONE HEIGHTS DR STE 360
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78746-7482
Mailing Address - Country:US
Mailing Address - Phone:512-637-9090
Mailing Address - Fax:512-340-0096
Practice Address - Street 1:4101 PARKSTONE HEIGHTS DR STE 360
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78746-7482
Practice Address - Country:US
Practice Address - Phone:512-637-9551
Practice Address - Fax:512-340-0096
Is Sole Proprietor?:No
Enumeration Date:2006-09-21
Last Update Date:2019-09-03
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Provider Licenses
StateLicense IDTaxonomies
TXL36362084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXH76516Medicare UPIN
TXH76516Medicare UPIN