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Terry Wallace, LOT
NPI 1639112071 · on the registry since 2006
Practice
- Address
- 605 Rockmead Dr
Suite 200
Humble, TX 77339 - Phone
- (281) 348-9588
- Fax
- (281) 348-2150
Registry record
- Primary taxonomy
- 225X00000X
225X00000X
- Also registered as
- 225XH1200X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-10-04
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