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Organization
MELODIE K. WALLACE, O.D.
Active
Organization
MELODIE K. WALLACE, O.D.
Active
Other names
Family Eye Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MELODIE KAY WALLACE O.D. (OWNER)
(210) 494-3146
Entity
Organization
Contact information
Practice address
17700 N US HIGHWAY 281, SUITE #136, SAN ANTONIO, TX 78232-1404
(210) 494-3146
Mailing address
17700 N US HIGHWAY 281, SUITE #136, SAN ANTONIO, TX 78232-1404
(210) 494-3146
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3539T
TX
Other
Enumeration date
02/05/2013
Last updated
02/05/2013
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