CHARLES ALAN WALLACE

DALLAS, TX
NPI1164422481
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2086S0122X Surgery, Plastic and Reconstructive Surgery
(Licence: TX  g3885)
Enumeration Date2005-07-28
Last Update Date2010-07-14
Business Address
-- CHARLES ALAN WALLACE MD
17110 DALLAS PKWY SUITE 100
DALLAS, TX 75248-1167
Phone number: 972-380-7090
Mailing Address
-- CHARLES ALAN WALLACE MD
17110 DALLAS PKWY SUITE 100
DALLAS, TX 75248-1167
Phone number: 972-380-7090
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