Mark D. Erickstad, M.D.

Urology Physician · Longview, TX

Individual Active NPI

NPI number 1972570307

Practice location

802 Medical Dr
Suite 400
Longview, TX 75605-5100
Phone
(903) 757-7871
Fax
(903) 753-2479

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NPI record

NPI
1972570307
Entity type
Individual (Type 1)
Enumeration date
March 3, 2006
Last updated
May 18, 2015
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Urology Physician Primary 208800000X H2362 TX

Mailing address

PO Box 847176
Dallas, TX 75284-7176
Phone
(903) 237-1800
Fax
(903) 237-1810

About Dr. Erickstad

Mark D. Erickstad, M.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Urology Physician (code 208800000X). The practice location is 802 Medical Dr, Suite 400, Longview, TX 75605-5100. The NPI number 1972570307 was assigned on March 3, 2006 and the record was last updated on May 18, 2015.

Dr. Erickstad lists a license in the registry: #H2362 (TX) for Urology Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Mark D. Erickstad, M.D.?

The NPI number is 1972570307.

What is the phone number of Dr. Erickstad?

The phone number listed for the practice location is (903) 757-7871.

Where is Dr. Erickstad located?

802 Medical Dr, Suite 400, Longview, TX 75605-5100.

What is the taxonomy code for Dr. Erickstad?

The primary taxonomy code is 208800000X – Urology Physician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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