Individual
MICHAEL R POVLOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3551 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234-4504
(210) 916-0974
Mailing address
3551 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234-4504
(210) 266-2158
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
036176693
IL
2085R0202X
Diagnostic Radiology Physician
Primary
2023026198
MO
2085R0202X
Diagnostic Radiology Physician
W0269
TX
Other
Enumeration date
02/22/2018
Last updated
04/07/2026
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