Individual
MARK L CANALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4502 MEDICAL DR, SAN ANTONIO, TX 78229-4402
(210) 358-0330
(210) 702-6860
Mailing address
4502 MEDICAL DR, SAN ANTONIO, TX 78229-4402
(210) 358-0330
(210) 702-6860
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
H2285
TX
207RI0011X
Interventional Cardiology Physician
Primary
H2285
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
129159307
—
TX
Enumeration date
07/20/2005
Last updated
04/30/2026
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