Individual
MARK ELIJAH FANKHAUSER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
4113 CROSSPOINT BLVD, EDINBURG, TX 78539-1803
(956) 603-1555
(956) 800-6369
Mailing address
4113 CROSSPOINT BLVD, EDINBURG, TX 78539-1803
(956) 603-1555
(956) 800-6369
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
934497
TX
363L00000X
Nurse Practitioner
Primary
1110869
TX
Other
Enumeration date
01/30/2023
Last updated
02/17/2023
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