Mark A. Antonacci, MD Valid NPI
Individual provider · Emergency Medicine Physician · Fort Sam Houston, TX
- NPI
- 1083673016
- Type
- Individual (Type 1)
- Primary specialty
- Emergency Medicine Physician (Emergency Medicine)
- Specialty group
- Allopathic & Osteopathic Physicians
- Taxonomy code
- 207P00000X
- License number
- P4138 (TX)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2006-03-20
- Last updated
- 2024-12-05
Practice location
3551 Roger Brooke Dr
Fort Sam Houston, TX 78234-4504
(850) 687-0316