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Individual

MR. MARK WAYNE CORNELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
1215 E COURT ST, SEGUIN, TX 78155-5129
(830) 379-5867
Mailing address
9703 WIND GATE PARKWAY, SAN ANTONIO, TX 78254-5995
(210) 834-6461

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP125527
TX

Other

Enumeration date
08/19/2009
Last updated
02/05/2016
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