James Oran Wallace M. D.

NPI 1053395822 - Specialist - 174400000X

NPI Details
NPI 1053395822
Gender Male
Enumeration Date 12/05/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
6624 FANNIN ST
SUITE 2400
HOUSTON TX, 77030-2312, US
Phone (713) 790-9151
Fax (713) 790-0927
Business Location
6624 FANNIN ST
SUITE 2400
HOUSTON TX, 77030-2312, US
Phone (713) 790-9151
Fax (713) 790-0927
Toxanomy
Taxonomy Code 174400000X
License State Texas
License Number F7955
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According to our database, Dr. James Oran Wallace M. D. NPI is 1053395822, taxonomy code is 174400000X and license number is F7955, license state is located at Texas. James Oran Wallace M. D. physically located at 6624 Fannin St, Houston TX, 77030-2312. NPI Number James Oran Wallace M. D. has the Individual type.

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1053395822 NPI number is provided on an as is basis without warranty of any kind. 1053395822 is maintained by the National Plan & Provider Enumeration System. The contents of James Oran Wallace M. D. are for informational purposes only.