Hornsby, Mark A
Hornsby, Mark A is an sole proprietor health care provider with primary practice located at 412 Mustang Dr , Denver City TX 79323-2762. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Hornsby, Mark A can be contacted via phone (806) 592-2121.Contact Information
Primary practice address
412 Mustang Dr
Denver City TX 79323-2762
Phone: (806) 592-2121
Fax: (806) 592-5489
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | NA2773 | California |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | AP112316 | Texas |
Profile Details
| NPI number | 1881653079 |
|---|---|
| LBN Legal business name | Hornsby, Mark A |
| Credentials | Certified Registered Nurse Anesthetist (CRNA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 17th, 2006 |
| Last updated | Jun 23rd, 2020 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1881653079 | NPPES |
| Texas | MEDICAID | 184258501 | |
| Texas | Other | 86896U | |
| Texas | MEDICAID | RN5543380 | |
| Texas | Other | 1D4636 | |
| Texas | Other | 1D4636 |
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