SearchOklahoma213ES0103X

Trenton Wallace

NPI 1861633539 · on the registry since 2009 · sole proprietor

Practice

Address
608 Nw 9th St
#4210
Oklahoma City, OK 73102
Phone
(405) 446-8290
Fax
(405) 601-8298
Organisation at this address
Naji Karam Md Pc
Scott K Lucas, Md
Deborah S Blalock
Heart Specialists Pc
Jon W Blaschke Md Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
115

Registry record

Primary taxonomy
213ES0103X
213ES0103X
Licence states on file
OK
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2016-01-20

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 Oklahoma