Individual
DR. MARK ALLEN DOSMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
17423 RANCHO DIANA, SAN ANTONIO, TX 78255-3365
(210) 239-5551
Mailing address
17423 RANCHO DIANA, SAN ANTONIO, TX 78255-3365
(210) 239-5551
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
J5088
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051524274
BLUE CROSS BLUE SHIELD
AL
05
—
051554701
—
AL
05
—
307567283A
—
GA
01
—
P00177045
RAILROAD MEDICARE
AL
Enumeration date
01/29/2007
Last updated
03/26/2023
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