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Ebony Wallace
NPI 1396066759 · on the registry since 2010 · sole proprietor
Practice
- Address
- 12123 Queens River Dr
Houston, TX 77044 - Phone
- (832) 298-8987
Registry record
- Primary taxonomy
- 171M00000X
171M00000X
- Sex
- Female
- Record last updated
- 2010-06-18
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