Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mark Fasulo, MD

Individual provider Internal Medicine Physician · NPI 1366686487

Mark Fasulo, MD is an Interventional Cardiology in Beaumont, Texas. Graduated from University of Texas Medical School at Houston in 2006, 20 years ago. Practices with Advanced Cardiovascular Specialists LLP, a 12-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
20
Trained at
University of Texas Medical School at Houston
Licensed in
TX
In the registry since
2009
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

755 N 11th St P2200
Beaumont, TX 77702-1513
Phone: (409) 892-1192
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X · Licence M9273 (TX)
Internal Medicine Physician Taxonomy 207R00000X · Licence M9273 (TX)

Record details

NPI number1366686487
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 21, 2009
Last updated in NPPESMarch 28, 2019
Mailing address755 N 11th St, Suite P2200, Beaumont, TX 77702-1500

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERVENTIONAL CARDIOLOGY
Also practisesCARDIOVASCULAR DISEASE (CARDIOLOGY), INTERNAL MEDICINE
Medical schoolUNIVERSITY OF TEXAS MEDICAL SCHOOL AT HOUSTON
Graduated 2006 (20 years in practice)
Group practice Advanced Cardiovascular Specialists Llp — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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