Provider Demographics
NPI:1164478038
Name:BATRICE, MARK P (MD)
Entity type:Individual
Prefix:DR
First Name:MARK
Middle Name:P
Last Name:BATRICE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3132 MATLOCK RD
Mailing Address - Street 2:SUITE 301
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76015-2910
Mailing Address - Country:US
Mailing Address - Phone:817-465-6900
Mailing Address - Fax:817-465-6905
Practice Address - Street 1:3132 MATLOCK ROAD
Practice Address - Street 2:STE 301
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76015-2910
Practice Address - Country:US
Practice Address - Phone:817-465-6900
Practice Address - Fax:817-465-6905
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-25
Last Update Date:2025-04-11
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXK2845207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
G85535Medicare UPIN
TX00471HMedicare ID - Type Unspecified