Individual
MARK FUNK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2121 SW 36TH ST, SAN ANTONIO, TX 78237-3360
(210) 257-1400
Mailing address
UTHSCSA, UTHSCSA, DEPT. OF OB/GYN, 7703 FLOYD CURL DRIVE, RM 428F, SAN ANTONIO, TX 78229
(210) 358-5233
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
K0303
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
040664701
—
TX
Enumeration date
08/24/2006
Last updated
07/08/2007
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