Wallace, Brent H
Wallace, Brent H is an sole proprietor health care provider with primary practice located at 141 Hyde Park Blvd , Cleburne TX 76033-4561. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Wallace, Brent H can be contacted via phone (817) 641-5221.Contact Information
Primary practice address
141 Hyde Park Blvd
Cleburne TX 76033-4561
Phone: (817) 641-5221
Fax: (817) 517-5241
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | F2093 | Texas |
Profile Details
| NPI number | 1386638252 |
|---|---|
| LBN Legal business name | Wallace, Brent H |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 7th, 2005 |
| Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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