CHARLES WALLACE, MD
Surgery - Plastic and Reconstructive Surgery
Active
Individual
NPI: 1164422481
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Surgery - Plastic and Reconstructive Surgery | 2086S0122X | Yes | G3885 (TX) |
Frequently Asked Questions
NPI 1164422481 is the National Provider Identifier for CHARLES WALLACE, MD, a Surgery - Plastic and Reconstructive Surgery provider located in Dallas, TX. This NPI was enumerated on July 28, 2005.
CHARLES WALLACE, MD practices at 17110 DALLAS PKWY, SUITE 100, Dallas, TX 75248.
Quick Facts
- NPI
- 1164422481
- Type
- Individual
- Enumerated
- Jul 28, 2005
- Last Updated
- Jul 14, 2010
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