Search › Texas › 207RE0101X
Mark Wallace, M.D
NPI 1548250103 · on the registry since 2005
Practice
- Address
- 3851 Roger Brooke Dr
Ft Sam Houston
San Antonio, TX 78234 - Phone
- (210) 916-0775
- Clinicians at this address
- 55
Registry record
- Primary taxonomy
- 207RE0101X
207RE0101X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-07-13
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas