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Individual
DR. ROGER LEWIS WALLACE
Active
Individual
DR. ROGER LEWIS WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
E4746
TX
Other
Enumeration date
04/05/2006
Last updated
02/15/2023
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