# DREW G. WALLACE, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Angelo Chiropractic Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003126236
- **Authorized official:** DR. DREW GEORGE WALLACE D.C. (PRESIDENT)
- **Authorized official phone:** (325) 949-7878

## Contact information

- **Practice address:** 1801 W AVENUE N, SAN ANGELO, TX 76904-4628
- **Practice address phone:** (325) 949-7878
- **Practice address fax:** (325) 944-7703
- **Mailing address:** 1801 W AVENUE N, SAN ANGELO, TX 76904-4628
- **Mailing address phone:** (325) 949-7878
- **Mailing address fax:** (325) 944-7703

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111NN0400X | Neurology Chiropractor | 6345 | TX | Yes |

## Other

- **Enumeration date:** 10/21/2010
- **Last updated:** 10/21/2010