MARK KOWALSKI WALLACE

SAN ANTONIO, TX
NPI1548250103
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism
(Licence: IN  01053948A)
Enumeration Date2005-10-25
Last Update Date2007-07-08
Business Address
Dr. MARK KOWALSKI WALLACE M.D
3851 ROGER BROOKE DR FT SAM HOUSTON
SAN ANTONIO, TX 78234
Phone number: 210-916-0775
Mailing Address
Dr. MARK KOWALSKI WALLACE M.D
12443 TECH RIDGE BLVD #712
AUSTIN, TX 78753
Phone number: 210-818-7958