SearchTexas363LA2200X

Lourdes Wallace, AGACNP-BC

NPI 1659773869 · on the registry since 2014

Practice

Address
113 Pleasant Valley Dr Ste 210
Boerne, TX 78006
Phone
(830) 267-4575
Fax
(830) 267-4575
Organisation at this address
Curative Wound Care Pllc
Centric Physicians Gulf Region Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
27

Additional practice sites

  • 10004 Johns Rd, Boerne, TX

Registry record

Primary taxonomy
363LA2200X
363LA2200X
Also registered as
363L00000X
363LA2200X
363LG0600X
363LG0600X
Licence states on file
TX, UT
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2020-09-03

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