Individual ProviderMark BuckFamily MedicineAllopathic & Osteopathic PhysiciansPractice Address1102 Barclay St, San Antonio, TX 78207-7161(832) 314-7334PECOS EnrollmentBased on the most recent information from CMS, provider Mark Buck is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1578085031Provider TypeIndividualFull NameBuck, MarkCredentialDOGenderMaleSole ProprietorNoEnumeration Date7/16/2017Last Updated7/16/2017Contact InformationPractice LocationPractice Address1102 Barclay St, San Antonio, TX 78207-7161Phone(832) 314-7334FaxUnlisted FaxMailing LocationMailing Address5450 Rowley Rd Apt 621, San Antonio, TX 78240-4715PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207Q00000XPrimaryDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicenseBP10061747Texas