SearchTexas164X00000X

Dondirall Wallace

NPI 1093205569 · on the registry since 2018 · sole proprietor

Practice

Address
304 Joseph Dr
Glenn Heights, TX 75154
Phone
(682) 412-2021

Registry record

Primary taxonomy
164X00000X
164X00000X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2018-05-10

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas