DEREK JAMES WALLACE

SAN ANTONIO, TX
NPI1174350276
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy163WC0200X Registered Nurse, Critical Care Medicine
(Licence: TX  947136)
Enumeration Date2024-09-14
Last Update Date2024-09-14
Business Address
Mr. DEREK JAMES WALLACE
7400 MERTON MINTER ST
SAN ANTONIO, TX 78229-4404
Phone number: 210-617-5300
Mailing Address
Mr. DEREK JAMES WALLACE
7400 MERTON MINTER ST
SAN ANTONIO, TX 78229-4404
Phone number:
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