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Dr. Mark D Erickstad, MD
Urology Physician in Longview, Texas
NPI 1972570307

Mark D Erickstad is a Urology Physician based in Dallas, TX. Mark D Erickstad practices in Longview, TX and has the professional credentials of MD. The NPI Number for Mark D Erickstad is 1972570307 and holds a License No. H2362 (Texas).

The current practice location address for Mark D Erickstad is 802 Medical Dr, Longview, TX and can be reached out via phone at 903-757-7871 and via fax at 903-753-2479.

Location: 802 Medical Dr, Longview, TX, 75284-7176
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1972570307
Provider Name
Mark D Erickstad
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
802 Medical Dr, Longview, TX, 75284-7176
Phone Number
903-757-7871
Fax Number
903-753-2479
Provider Enumeration Date
03/03/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
127746908 05 TX
P00417180 01 TX RR MEDICARE
institution
Provider Business Practice Location Address Details
Address
802 Medical Dr
City
Longview
State
Texas
Zip
75605-5100
Phone Number
903-757-7871
Fax Number
903-753-2479
person
Provider Business Mailing Address Details
Address
802 Medical Dr
City
Longview
State
Texas
Zip
75605-5100
Phone Number
903-757-7871
Fax Number
903-753-2479
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Urology
Speciality
-
Taxonomy
208800000X
License No.
H2362 (Texas)
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
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