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Individual

MARK Q. VEAZIE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RN, CRNA

Contact information

Practice address
1515 HOLCOMBE BLVD, HOUSTON, TX 77030-4009
(713) 792-6161
Mailing address
PO BOX 4439, HOUSTON, TX 77210-4439
(713) 792-2991

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
575848
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
157217401
TX
01
83244U
BCBS
TX
01
P00000365
RR MEDICARE
TX
Enumeration date
01/17/2007
Last updated
12/06/2010
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