Wallace, John M
Wallace, John M is an individual health care provider with primary practice located at 11155 Main St , Houston TX 77025-5600. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist, which is considered as his primary health care specialty. Wallace, John M can be contacted via phone (713) 474-4171.Contact Information
Primary practice address
11155 Main St
Houston TX 77025-5600
Phone: (713) 474-4171
Fax: (713) 747-4249
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist | 222Z00000X | 171 | Texas |
Profile Details
| NPI number | 1487912382 |
|---|---|
| LBN Legal business name | Wallace, John M |
| Credentials | LO |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 27th, 2012 |
| Last updated | Apr 27th, 2012 - about 12 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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