| Doctor Name: | DR. MARK ALEXANDER NOVAS |
| NPI Number: | 1851376586 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 80919 |
| Business Practice Address: | 149 Hart St Sheppard Afb, TX - 763113481 |
| Business Phone Number: | 9043868880 |
| Business Fax Number: | |
| Mailing Address: | Po Box 9413, WICHITA FALLS |
| State: | TX |
| Postal Code: | 763089413 |
| Phone Number: | 9043868880 |
| Fax Number: | |
| NPI Enumeration Date: | 12/15/2005 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207QA0505X |
| License Number: | 80919 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Family Medicine |
| Taxonomy Specialization: | Adult Medicine |
| Taxonomy Definition: | |