Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MARK C. WILDE, PSY.D.
ActiveClinical Neurophysiology · HOUSTON, TX
Registration Details
- NPI Number
- 1730148925
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 17, 2006 (20.097141191358 yrs)
- Last Updated
- Feb 27, 2017
- Licenses
-
25025 (TX)25025 (TX)
Practice Information
- Address
-
13300 HARGRAVE RDSUITE 505HOUSTON, TX, 770704373Browse TX providers · Browse ZIP 77070
- Phone
- 2817371167
- Fax
- 2814691460
- Primary Specialty
-
Clinical Neurophysiology
2084N0600X
- Additional Specialty
- Clinical Neurophysiology
Other Clinical Neurophysiology Providers in HOUSTON, TX
| Name | Credential | NPI |
|---|---|---|
| RICHARD A HRACHOVY | M.D. | 1518948470 |
| DR. HOLLY KNUDSEN VARNER | M.D. | 1154375772 |
| PARVEEN ATHAR | M.D. | 1215972997 |
| JEREMY D SLATER | M.D. | 1902833593 |
| ARTHUR D. FORMAN | M.D. | 1568568418 |
| MARK R GILBERT | M.D. | 1295834026 |
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.