Christopher L. Wallace M.D.

NPI 1861409070 - Psychiatry & Neurology - 2084P0800X

NPI Details
NPI 1861409070
Gender Male
Enumeration Date 08/01/2006
Last Updated 03/30/2015
Entity Type Individual
Active Over 11 years ago
Practice Location
SAN ANTONIO TX, 78207-0903, US
Phone (210) 358-3108
Fax (210) 358-3067
Business Location
SAN ANTONIO TX, 78291-0087, US
Phone (210) 358-9172
Fax (210) 358-9183
Taxonomy Code 2084P0800X
License State Texas
License Number L0680
Remove 1861409070 NPI Number

According to our database, Dr. Christopher L. Wallace M.D. NPI is 1861409070, taxonomy code is 2084P0800X and license number is L0680, license state is located at Texas. Christopher L. Wallace M.D. physically located at 903 W Martin St, San Antonio TX, 78207-0903. NPI Number Christopher L. Wallace M.D. has the Individual type.

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1861409070 NPI number is provided on an as is basis without warranty of any kind. 1861409070 is maintained by the National Plan & Provider Enumeration System. The contents of Christopher L. Wallace M.D. are for informational purposes only.