Canales, Mark L

Canales, Mark L is an individual health care provider with primary practice located at 5430 Fredericksburg Rd Ste 400 , San Antonio TX 78229-3539. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Canales, Mark L can be contacted via phone (210) 538-2301.

Contact Information

Primary practice address
5430 Fredericksburg Rd Ste 400 San Antonio TX 78229-3539
Fax: (210) 949-0310
Website:

Health care specialties

Profile Details

NPI number 1417956533
LBN Legal business name Canales, Mark L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2005
Last updated Mar 17th, 2018 - about 7 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 1417956533 NPPES
Texas MEDICAID 129159307

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