MELODIE KAY WALLACE

SAN ANTONIO, TX
NPI1124147954
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy152W00000X Optometrist
(Licence: TX  3539)
Enumeration Date2007-03-29
Last Update Date2007-07-08
Business Address
-- MELODIE KAY WALLACE O.D.
17700 SAN PEDRO AVE SUITE 136
SAN ANTONIO, TX 78232-1404
Phone number: 210-494-3146
Mailing Address
-- MELODIE KAY WALLACE O.D.
417 TEXAS PT
SAN ANTONIO, TX 78258-7737
Phone number: 210-481-0916
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