Wallace, Mark Kowalski

Wallace, Mark Kowalski is an individual health care provider with primary practice located at 3851 Roger Brooke Dr Ft Sam Houston, San Antonio TX 78234. He recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as his primary health care specialty. Wallace, Mark Kowalski can be contacted via phone (210) 916-0775.

Contact Information

Primary practice address
3851 Roger Brooke Dr Ft Sam Houston San Antonio TX 78234
Phone: (210) 916-0775
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X 01053948A Indiana

Profile Details

NPI number 1548250103
LBN Legal business name Wallace, Mark Kowalski
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 25th, 2005
Last updated Jul 8th, 2007 - about 17 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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