Individual
MARK M LANDEROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1700 CURIE DR, STE 1500, EL PASO, TX 79902-2905
(915) 543-9600
(915) 543-9700
Mailing address
1700 CURIE DR, STE 1500, EL PASO, TX 79902-2905
(915) 543-9600
(915) 543-9700
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
K7571
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
008791K0
BCBS
TX
05
—
096604601
—
TX
Enumeration date
05/13/2006
Last updated
01/06/2015
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