Thomas Wallace, M.D

NPI 1679641666 · on the registry since 2006

Practice

Address: 1441 Florida Ave
Modesto, CA 95350
Phone: (209) 576-3525
Fax: (209) 576-3544
Organisation at this address: Madhuri Kamatham
Doctors Medical Center
Timothy Yao, M.D., Inc.
O & D Medical Solutions
Cep America - California
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 214

Registry record

Primary taxonomy: 207RC0200X
207RC0200X
Licence states on file: CA
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 California