Search › Texas › 207R00000X
Brent Wallace, M.D
NPI 1386638252 · on the registry since 2005 · sole proprietor
Practice
- Address
- 141 Hyde Park Blvd
Cleburne, TX 76033 - Phone
- (817) 641-5221
- Fax
- (817) 517-5241
- Organisation at this address
- Cleburne Internal Medicine Associates, Pa
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 207R00000X
207R00000X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
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