JOHN WALLACE, LO
Orthotist
Active
Individual
NPI: 1487912382
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Orthotist | 222Z00000X | Yes | 171 (TX) |
Frequently Asked Questions
NPI 1487912382 is the National Provider Identifier for JOHN WALLACE, LO, a Orthotist provider located in Houston, TX. This NPI was enumerated on April 27, 2012.
JOHN WALLACE, LO practices at 11155 MAIN ST, Houston, TX 77025.
Quick Facts
- NPI
- 1487912382
- Type
- Individual
- Enumerated
- Apr 27, 2012
- Last Updated
- Apr 27, 2012
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