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Search › Texas › 224Z00000X

Clintin Wallace

NPI 1245712819 · on the registry since 2018

Practice

Address
501 N Medford Dr
Lufkin, TX 75901
Phone
(936) 639-1252
Organisation at this address
P & S Healthcare Lp
Align Medical Practice Pllc
Southland Health Care Center, Ltd.
Liberty County Hospital District No.1
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
224Z00000X
224Z00000X
Sex
Male
Record last updated
2018-08-30

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