Individual
MARK JOSEPH GESLAK
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
3851 ROGER BROOKE DR, MCHE-QD, FORT SAM HOUSTON, TX 78234-4501
(210) 916-2460
Mailing address
4855 ENCANTO CREEK DR, SAN ANTONIO, TX 78247-5618
(210) 545-7324
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA04593
TX
Other
Enumeration date
02/06/2006
Last updated
07/08/2007
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