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Individual

CHRISTOPHER WALLACE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
300 UNIVERSITY BLVD, ROUND ROCK, TX 78665-1032
(512) 509-0100
(512) 218-6330
Mailing address
PO BOX 840003, DALLAS, TX 75284-0003

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
4301107981
MI

Other

Enumeration date
06/08/2015
Last updated
01/26/2022
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