Jesse Wallace, D.C

NPI 1871794495 · on the registry since 2007

Practice

Address: 7410 Blanco Rd
Suite 400
San Antonio, TX 78216
Phone: (800) 404-6050
Fax: (210) 477-7631
Organisation at this address: Sa Rehab Pllc
Jme Counseling Inc.
Airrosti Center, Inc.
Sbc Ventures Corporation
Pride Health Care Services Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 22

Registry record

Primary taxonomy: 111N00000X
111N00000X
Licence states on file: TX
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2008-08-21

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