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Search › Texas › 225200000X

Antonio Wallace

NPI 1780597534 · on the registry since 2026

Practice

Address
1860 N Cooper St
Arlington, TX 76011
Phone
(817) 385-9185
Organisation at this address
Aegis Group Practice Llc
Arlington Cooper Senior Living Limited Partnership
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
225200000X
225200000X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-09-23

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