Individual
DR. MELISSA BAKER WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6330 LBJ FWY STE 150, DALLAS, TX 75240
(817) 381-8664
(972) 991-8966
Mailing address
6330 LBJ FWY STE 150, DALLAS, TX 75240-6431
(817) 381-8664
(972) 991-8966
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
R9012
TX
Other
Enumeration date
05/19/2015
Last updated
07/16/2019
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