Wallace, Stacy L
Wallace, Stacy L is an individual health care provider with primary practice located at 20330 Huebner Rd Suite 104, San Antonio TX 78258-3508. She recently has only one registered license in Dietary & Nutritional Service Providers / Nutrition, Metabolic, which is considered as her primary health care specialty. Wallace, Stacy L can be contacted via phone (832) 237-3500.Contact Information
Primary practice address
20330 Huebner Rd Suite 104
San Antonio TX 78258-3508
Phone: (832) 237-3500
Fax: (832) 237-0200
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dietary & Nutritional Service Providers / Nutrition, Metabolic | 133VN1006X | 855077 | Texas |
Profile Details
NPI number | 1487896668 |
---|---|
LBN Legal business name | Wallace, Stacy L |
Credentials | Registered Dietitian (RD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 2nd, 2009 |
Last updated | Apr 2nd, 2009 - about 16 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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