| Mark D. Rasmusson, M.d., P.a. | |
|
13725 Northwest Blvd Suite 12 Corpus Christi TX 78410-5127 | |
| (361) 387-6587 | |
| (361) 387-6589 |
| Full Name | Mark D. Rasmusson, M.d., P.a. |
|---|---|
| Speciality | Internal Medicine |
| Location | 13725 Northwest Blvd, Corpus Christi, Texas |
| Authorized Official Name and Position | Mark Rasmusson (OWNER/PHYSICIAN) |
| Authorized Official Contact | 3613876587 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mark D. Rasmusson, M.d., P.a. 13725 Northwest Blvd Suite 12 Corpus Christi TX 78410-5127 Ph: (361) 387-6587 | Mark D. Rasmusson, M.d., P.a. 13725 Northwest Blvd Suite 12 Corpus Christi TX 78410-5127 Ph: (361) 387-6587 |
| NPI Number | 1851417240 |
|---|---|
| Provider Enumeration Date | 03/21/2007 |
| Last Update Date | 09/21/2011 |
| Medicare PECOS PAC ID | 1254528698 |
|---|---|
| Medicare Enrollment ID | O20101210000078 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851417240 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | G9517 (Texas) | Primary |
| Provider Name | Mark D Rasmusson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598881948 PECOS PAC ID: 4880881226 Enrollment ID: I20101210000098 |
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