Search › Texas › 235Z00000X
Jaclyn Wallace
NPI 1609189315 · on the registry since 2010
Practice
- Address
- 2124 E Saint Elmo Rd
Austin, TX 78744 - Phone
- (512) 300-0895
Registry record
- Primary taxonomy
- 235Z00000X
235Z00000X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-08-17
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