Organization
WALLACE ORTHOPAEDICS AND SPORTS MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY S WALLACE M.D. (PRESIDENT)
(972) 463-1253
Entity
Organization
Contact information
Practice address
6701 HERITAGE PKWY, SUITE 140, ROCKWALL, TX 75087-8747
(972) 463-1253
(972) 463-0758
Mailing address
6701 HERITAGE PKWY, SUITE 140, ROCKWALL, TX 75087-8747
(972) 463-1253
(972) 463-0758
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
J3932
TX
Other
Enumeration date
03/22/2007
Last updated
08/22/2020
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