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Organization

WILLIAM E WALLACE DO

Active
Organization subpart
No

Provider details

NPI number
Authorized official
WILLIAM E WALLACE DO (PRESIDENT)
(817) 927-3386
Entity
Organization

Contact information

Practice address
6007 HILLBROOK DR, COLLEYVILLE, TX 76034-5323
(817) 927-3386
Mailing address
6007 HILLBROOK DR, COLLEYVILLE, TX 76034-5323
(817) 927-3386

Taxonomy

Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary

Other

Enumeration date
08/05/2016
Last updated
08/05/2016
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