Individual
BYRON WALLACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATP
Contact information
Practice address
8501 FORSYTHIA DR, MCKINNEY, TX 75070
(214) 335-8632
Mailing address
8501 FORSYTHIA DR, MCKINNEY, TX 75070-6754
(214) 394-0257
Taxonomy
Speciality
Code
Description
License number
State
225CA2400X
Assistive Technology Practitioner Rehabilitation Counselor
Primary
75739
TX
Other
Enumeration date
06/09/2016
Last updated
06/09/2016
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