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Individual

MARK A ERSPAMER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
3100 AVENUE E, HONDO, TX 78861-3534
(830) 426-7700
(830) 426-7860
Mailing address
107 RIVER FRST, CASTROVILLE, TX 78009-2715
(830) 538-3306
(830) 538-3307

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
243606
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
088858805
TX
01
84374U
BCBSTX
TX
01
86714U
BCBSTX
TX
Enumeration date
07/18/2006
Last updated
02/02/2012
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