Charles Alan Wallace in Dallas - Plastic And Reconstructive Surgery
Charles Alan Wallace - NPI 1164422481
Charles Alan Wallace is a Plastic And Reconstructive Surgery in Dallas, Texas. Charles Alan Wallace practices all healthcare services and medical treatments related to Plastic And Reconstructive Surgery. The NPI Number for Charles Alan Wallace is 1164422481. The last update date is 2010-07-14.
Charles Alan Wallace's current location address is 17110 Dallas Pkwy, Dallas, Texas. You can contact this provider via phone number 9723807090 and fax number 9723807016. The mailing address for Charles Alan Wallace is 17110 Dallas Pkwy, Dallas, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Charles Alan Wallace |
|---|---|
| Address | 17110 Dallas Pkwy, Dallas, Texas |
| Phone Number | 9723807090 |
| Fax Number | 9723807016 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1164422481 |
|---|---|
| Provider Enumeration Date | 2005-07-28 |
| Last Updated Date | 2010-07-14 |
Provider Mailing Address Detail
| Address | 17110 Dallas Pkwy |
|---|---|
| City | Dallas |
| State | Texas (TX) |
| Post Code | 752481167 |
| Phone Number | 9723807090 |
| Fax Number | 9723807016 |
Provider's Primary Taxonomy Detail
| Speciality | Plastic And Reconstructive Surgery |
|---|---|
| Taxonomy | 2086S0122X |
| Licence No | G3885 |
|
Definition: A surgeon who specializes in plastic and reconstructive surgery. |
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Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Charles Alan Wallace by the Centers for Medicare & Medicaid Services?
The Charles Alan Wallace has been issued the NPI (National Provider Identifier) 1164422481, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Charles Alan Wallace is geographically located?
The Charles Alan Wallace is physically situated at the following location: 17110 Dallas Pkwy, Dallas, TX, 752481167.
What is Charles Alan Wallace's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Charles Alan Wallace is Plastic And Reconstructive Surgery, and the corresponding taxonomy classification code for this specialized field is 2086S0122X.
On what date did the Charles Alan Wallace receive the assignment of its 1164422481 from the Centers for Medicare & Medicaid Services?
The Charles Alan Wallace was issued its 1164422481 by the Centers for Medicare & Medicaid Services on 2005-07-28.
When was the information regarding Charles Alan Wallace, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Charles Alan Wallace, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2010-07-14.
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