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1932326873
MARK A TANNER
WEST LAKE HILLS, TX
NPI
1932326873
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Other Name
MARK A. TANNER
Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: TX PA00315)
Enumeration Date
2007-04-20
Last Update Date
2007-07-08
Business Address
Mr. MARK A TANNER P.A.-C
4201 BEE CAVE RD SUITE 102
WEST LAKE HILLS, TX 78746-6465
Phone number: 512-301-1712
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Mailing Address
Mr. MARK A TANNER P.A.-C
4307 SENDERO DR
AUSTIN, TX 78735-6321
Phone number: 213-892-2257
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