Mark Joseph Geslak, PA Valid NPI

Individual provider · Medical Physician Assistant · Fort Sam Houston, TX

NPI

1104898758

Type

Individual (Type 1)

Primary specialty

Medical Physician Assistant (Physician Assistant)

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363AM0700X

License number

PA04593 (TX)

Sex

Male

Sole proprietor

No

Enumerated

2006-02-06

Last updated

2007-07-08