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Allen Wallace
NPI 1417683293 · on the registry since 2022 · sole proprietor
Practice
- Address
- 3506 E 14th St
Lubbock, TX 79403 - Phone
- (806) 777-3607
Registry record
- Primary taxonomy
- Private Vehicle
347C00000X
- Also registered as
- Driver
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-01-10
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