| Doctor Name: | DR. MARK CHRISTOPHER DREW |
| NPI Number: | 1043389141 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | J5312 |
| Business Practice Address: | 1000 S Coulter St Amarillo, TX - 791061781 |
| Business Phone Number: | 8062124700 |
| Business Fax Number: | 8062124730 |
| Mailing Address: | Po Box 2533, AMARILLO |
| State: | TX |
| Postal Code: | 791052533 |
| Phone Number: | 8062126965 |
| Fax Number: | 8062126278 |
| NPI Enumeration Date: | 11/06/2006 |
| NPI Last Update Date: | 04/19/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | J5312 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |