Asmussen, Mark Dwayne

Asmussen, Mark Dwayne is an individual health care provider with primary practice located at 600 N Park St , Brenham TX 77833-2610. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Asmussen, Mark Dwayne can be contacted via phone (979) 836-6153.

Contact Information

Primary practice address
600 N Park St Brenham TX 77833-2610
Phone: (979) 836-6153
Fax: (979) 277-9074
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA07059 Texas
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA07059 Texas

Profile Details

NPI number 1134427602
LBN Legal business name Asmussen, Mark Dwayne
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2011
Last updated Sep 4th, 2020 - about 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134427602 NPPES
Texas Other PA07059 TEXAS STATE LICENSE
Texas MEDICAID 309349401 TEXAS STATE LICENSE

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