Wallace, David Michael

Wallace, David Michael is an individual health care provider with primary practice located at 22001 Southwest Fwy Ste 300 , Richmond TX 77469-7001. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Wallace, David Michael can be contacted via phone (281) 633-4940.

Contact Information

Primary practice address
22001 Southwest Fwy Ste 300 Richmond TX 77469-7001
Phone: (281) 633-4940
Fax: (281) 633-4943
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 34-008872 Ohio
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X N0539 Texas

Profile Details

NPI number 1437349479
LBN Legal business name Wallace, David Michael
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2007
Last updated Feb 27th, 2020 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1437349479 NPPES
Texas Other 8BL970 BLUE CROSS BLUE SHIELD TX

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