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Individual

MR. MARK A HORNSBY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
412 MUSTANG DR, DENVER CITY, TX 79323-2762
(806) 592-2121
(806) 592-5489
Mailing address
PO BOX 1130, DENVER CITY, TX 79323-1130
(806) 592-2121
(806) 592-5489

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP112316
TX
367500000X
Certified Registered Nurse Anesthetist
NA2773
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
184258501
TX
01
1D4636
NOVITAS - 855I
TX
01
86896U
BCBSTX
TX
05
RN5543380
CA
Enumeration date
03/17/2006
Last updated
06/23/2020
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