Individual
SCOTT ROBERT WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
103 N LOOP 499, HARLINGEN, TX 78550-2557
(956) 289-7000
(956) 513-0409
Mailing address
1901 S 24TH AVE, EDINBURG, TX 78539-6533
(956) 289-7025
(956) 513-0409
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
BP10059771
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
138708613
—
TX
Enumeration date
04/07/2017
Last updated
03/26/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us