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Individual

DR. MARK LIN DEARDEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3551 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234-4504
(210) 539-9582
Mailing address
1005 W SUMMIT AVE, SAN ANTONIO, TX 78201-5629
(619) 961-6278
(513) 585-5511

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
35 130081
OH
207L00000X
Anesthesiology Physician
A109877
CA

Other

Enumeration date
02/09/2006
Last updated
06/10/2024
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