Provider Demographics
NPI:1760439400
Name:MCQUAID, MARK ALLAN (MD FACS)
Entity type:Individual
Prefix:DR
First Name:MARK
Middle Name:ALLAN
Last Name:MCQUAID
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Gender:M
Credentials:MD FACS
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Mailing Address - Street 1:1518 LEGACY DRIVE
Mailing Address - Street 2:SUITE 120
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75034
Mailing Address - Country:US
Mailing Address - Phone:972-378-5347
Mailing Address - Fax:972-378-0916
Practice Address - Street 1:1518 LEGACY DRIVE
Practice Address - Street 2:SUITE 120
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034
Practice Address - Country:US
Practice Address - Phone:972-378-5347
Practice Address - Fax:972-378-0916
Is Sole Proprietor?:No
Enumeration Date:2006-05-28
Last Update Date:2014-12-23
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Provider Licenses
StateLicense IDTaxonomies
TXJ2201208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX172397501Medicaid
TX172397501Medicaid
G25018Medicare UPIN