DR. MARK KOWALSKI WALLACE (M.D) – Endocrinology, Diabetes & Metabolism Physician, NPI 1548250103
Endocrinology, Diabetes & Metabolism Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for DR. MARK KOWALSKI WALLACE (M.D)
Tech Ridge Boulevard, Austin, Travis County, Texas, 78753, United States
#712
AUSTIN, TX 78753
Phone: (210) 818-7958
Type: Mailing
Roger Brooke Drive, San Antonio, Bexar County, Texas, 78219, United States
FT SAM HOUSTON
SAN ANTONIO, TX 78234
Phone: (210) 916-0775
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2011-08-17
PECOS data refreshed: 2026-05-27
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Medicare Utilization (FFS)
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Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 78753)
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