Wallace, Jeffrey S
Wallace, Jeffrey S is an sole proprietor health care provider with primary practice located at 6800 Heritage Pkwy Ste 102 , Rockwall TX 75087-8746. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Wallace, Jeffrey S can be contacted via phone (972) 463-1253.Contact Information
Primary practice address
6800 Heritage Pkwy Ste 102
Rockwall TX 75087-8746
Phone: (972) 463-1253
Fax: (214) 607-1641
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | J3932 | Texas |
Profile Details
| NPI number | 1629089156 |
|---|---|
| LBN Legal business name | Wallace, Jeffrey S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 10th, 2006 |
| Last updated | Jan 6th, 2020 - about 4 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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