Individual
MARK WENBORNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3904 BROUGHTON, SCHERTZ, TX 78154-2966
(210) 369-9009
Mailing address
3904 BROUGHTON, SCHERTZ, TX 78154-2966
Taxonomy
Speciality
Code
Description
License number
State
242T00000X
Perfusionist
Primary
FPF02000051
TX
Other
Enumeration date
01/28/2020
Last updated
01/28/2020
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