Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MARK A FREDRICKSON, MD
Active Sole ProprietorPhysical Medicine & Rehabilitation · MIDLAND, TX
Registration Details
- NPI Number
- 1578530242
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 2, 2006 (20.180210573093 yrs)
- Last Updated
- Mar 31, 2025
- License
-
H7056 (TX)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1800 HERITAGE BLVDMIDLAND, TX, 79707Browse TX providers · Browse ZIP 79707
- Phone
- 8172849850
- Fax
- 4327042130
- Primary Specialty
-
Physical Medicine & Rehabilitation
208100000X
Other Physical Medicine & Rehabilitation Providers in MIDLAND, TX
| Name | Credential | NPI |
|---|---|---|
| JOAN SYBELL PETALCORIN | M.D. | 1619008141 |
| VARSHA GILLALA | D.O | 1740442144 |
| BRUCE WELBORN | — | 1740693829 |
| REBECCA ELLYSE CAFFEY | P.T., D.P.T. | 1679068878 |
| BAILEY ALNESS | PTA | 1659949527 |
| ALEXANDRA GILLSON | — | 1356008353 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.