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Organization
SHARON WALLACE MD PA
Active
Organization
SHARON WALLACE MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHARON RENEE WALLACE MD (OWNER)
(281) 316-1000
Entity
Organization
Contact information
Practice address
4 PROFESSIONAL PARK DR, WEBSTER, TX 77598-4127
(281) 316-1000
(281) 316-0110
Mailing address
PO BOX 57487, WEBSTER, TX 77598-7487
(281) 316-1000
(281) 316-0110
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
K0394
TX
Other
Enumeration date
09/29/2010
Last updated
09/29/2010
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