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Search › Texas › 2086S0122X

Charles Wallace, MD

NPI 1164422481 · on the registry since 2005 · sole proprietor

Practice

Address
17110 Dallas Pkwy
Suite 100
Dallas, TX 75248
Phone
(972) 380-7090
Fax
(972) 380-7016
Organisation at this address
Darren Crosbie, D.D.S.
Plano Pain Centers, Llc
Cla Physicians Group Inc
Bent Tree Surgery Center
Bentree Pain Procedure Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address
13

Registry record

Primary taxonomy
2086S0122X
2086S0122X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2010-07-14

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