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Individual

MR. MARK GERARD PRESCOTT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
1100 WILFORD HALL LOOP BLDG 4554, JBSA LACKLAND, TX 78236-5638
(210) 292-6707
(210) 292-7964
Mailing address
8515 MODRED ST, SAN ANTONIO, TX 78254-2438
(210) 288-0003

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
610382
TX

Other

Enumeration date
01/06/2006
Last updated
08/19/2019
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