SearchTexas207R00000X

Jennifer Wallace, M D

NPI 1699760934 · on the registry since 2005

Practice

Address
7720 Jones Maltsberger
Suite 110
San Antonio, TX 78216
Phone
(210) 822-2004
Fax
(210) 822-2215

Registry record

Primary taxonomy
207R00000X
207R00000X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2016-04-26

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