Individual provider · Type 1 NPI

Mark D. Erickstad, MD

Urology Physician · Longview, TX

NPI number 1972570307 Active

Practice location

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

Call (903) 757-7871 Map

Fax (903) 753-2479

Mailing address

PO Box 847176
Dallas, TX 75284-7176

Specialties and licenses

TaxonomyCodeLicense
Urology Physician Primary 208800000XH2362 (TX)

Urology Physician: 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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About NPI 1972570307

Mark D. Erickstad, MD's National Provider Identifier is 1972570307, issued on Mar 3, 2006. The primary taxonomy on file is Urology Physician (208800000X), and the practice location is in Longview, TX. The record was last updated on May 18, 2015.