Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Mark Kowalski Wallace, MD

Individual provider Endocrinology, Diabetes & Metabolism Physician · NPI 1548250103

Dr. Mark Kowalski Wallace, MD is an Endocrinology, Diabetes & Metabolism Physician in San Antonio, Texas. Licensed in Indiana. Registered with an NPI since 2005.

Licensed in
IN
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3851 Roger Brooke Dr Ft Sam Houston
San Antonio, TX 78234
Phone: (210) 916-0775
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Endocrinology, Diabetes & Metabolism Physician (primary) Taxonomy 207RE0101X · Licence 01053948A (IN)

Record details

NPI number1548250103
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 25, 2005
Last updated in NPPESJuly 13, 2026

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