SearchTexas103TC0700X

Lee Wallace, PHD

NPI 1649286949 · on the registry since 2006

Practice

Address
13740 Hwy 183
#R-3
Austin, TX 78750
Phone
(512) 331-1415
Fax
(512) 918-2325

Registry record

Primary taxonomy
103TC0700X
103TC0700X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

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