Wallace, Charles Alan
Wallace, Charles Alan is an sole proprietor health care provider with primary practice located at 17110 Dallas Pkwy Suite 100, Dallas TX 75248-1167. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery, which is considered as his primary health care specialty. Wallace, Charles Alan can be contacted via phone (972) 380-7090.Contact Information
Primary practice address
17110 Dallas Pkwy Suite 100
Dallas TX 75248-1167
Phone: (972) 380-7090
Fax: (972) 380-7016
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery | 2086S0122X | G3885 | Texas |
Profile Details
| NPI number | 1164422481 |
|---|---|
| LBN Legal business name | Wallace, Charles Alan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 28th, 2005 |
| Last updated | Jul 14th, 2010 - about 15 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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