Search › Texas › 363LP0200X
Stacy Wallace, NP
NPI 1205843422 · on the registry since 2006
Practice
- Address
- 1702 N Alamo St
Suite 220
San Antonio, TX 78215 - Phone
- (210) 224-1823
- Fax
- (210) 224-7011
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 363LP0200X
363LP0200X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2010-01-27
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