Individual
DR. MARK WILSON GENESER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
226 OLEANDER AVE, CORPUS CHRISTI, TX 78404
(361) 882-3337
Mailing address
226 OLEANDER AVE, CORPUS CHRISTI, TX 78404
(936) 198-8233
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
H5887
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0898157-01
—
TX
Enumeration date
07/18/2005
Last updated
09/23/2015
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