Jeffrey Wallace, M.D

NPI 1629089156 · on the registry since 2006 · sole proprietor

Practice

Address: 6800 Heritage Pkwy Ste 102
Rockwall, TX 75087
Phone: (972) 463-1253
Fax: (214) 607-1641
Organisation at this address: Ideal Balance Inc
Idael Balance, Inc
Martin V Sloan Dpm
Sabal Dental Rockwall Pllc
Stiles Medical Consulting Pa
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 6

Registry record

Primary taxonomy: 207X00000X
207X00000X
Licence states on file: TX
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2020-01-06

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas