SearchTexas208G00000X

William Wallace, DO

NPI 1225087562 · on the registry since 2006

Practice

Address
2000 Ben Merritt Dr
Suite B
Decatur, TX 76234
Phone
(817) 380-6621
Fax
(817) 380-6622
Organisation at this address
Alfred A. Santos, M.D., P.A.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
208G00000X
208G00000X
Also registered as
208600000X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-07-21

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