Individual
MARK GORELIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
333 N SANTA ROSA ST, SAN ANTONIO, TX 78207-3108
(210) 704-4849
Mailing address
333 N SANTA ROSA ST, SAN ANTONIO, TX 78207-3108
(210) 704-4849
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
MD435796
PA
2080P0216X
Pediatric Rheumatology Physician
Primary
Q3876
TX
2085R0202X
Diagnostic Radiology Physician
57010161
OH
Other
Enumeration date
04/25/2007
Last updated
05/29/2015
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