IndividualActive
Mark Summers, MD
NPI 1043295041 · Aerospace Medicine Physician · Dyess Afb, TX
Provider details
- NPI number
- 1043295041
- Entity type
- Individual
- Primary specialty
- Aerospace Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 0101102440 (VA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
697 Louisiana Rd
7th Mdg
Dyess Afb, TX 79607-1141
Phone: (325) 696-5490
Approximate (ZIP-level) locationGet directions
Mailing address
697 Louisiana Rd
Dyess Afb, TX 79607-1141
Registry dates
- Enumerated
- 2005-12-13
- Last updated
- 2012-12-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.