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Tim Wallace
NPI 1952087298 · on the registry since 2023 · sole proprietor
Practice
- Address
- 2012 Nw Military Hwy Ste 100
San Antonio, TX 78213 - Phone
- (713) 686-9194
- Clinicians at this address
- 2
Additional practice sites
- 4411 Dacoma St, Houston, TX
- 4131 Spicewood Springs Rd Ste J1, Austin, TX
Registry record
- Primary taxonomy
- 171M00000X
171M00000X
- Sex
- Male
- Record last updated
- 2023-06-22
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