Stacy Wallace, RD

NPI 1487896668 · on the registry since 2009

Practice

Address: 20330 Huebner Rd
Suite 104
San Antonio, TX 78258
Phone: (832) 237-3500
Fax: (832) 237-0200
Organisation at this address: Diabetes America
Dcoa Physician Associates Pa
Coressentials Physical Therapy And Pelvic Wellness
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 2

Registry record

Primary taxonomy: 133VN1006X
133VN1006X
Licence states on file: TX
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2009-04-02

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