Individual
DR. MARK ZAKULA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
111 DALLAS ST, EMERGENCY ROOM, SAN ANTONIO, TX 78205-1201
(210) 614-0180
(210) 615-7170
Mailing address
8686 NEW TRAILS DR, STE 100, THE WOODLANDS, TX 77381-1176
(713) 637-1146
(281) 298-5311
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
H3205
TX
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
H3205
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
131358701
—
TX
05
—
131358707
—
TX
01
—
8N2620
BCBS
TX
Enumeration date
04/18/2006
Last updated
06/06/2016
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