JOHN M WALLACE

HOUSTON, TX
NPI1487912382
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy222Z00000X Orthotist
(Licence: TX  171)
Enumeration Date2012-04-27
Last Update Date2012-04-27
Business Address
-- JOHN M WALLACE LO
11155 MAIN ST
HOUSTON, TX 77025-5600
Phone number: 713-474-4171
Mailing Address
-- JOHN M WALLACE LO
11155 MAIN ST
HOUSTON, TX 77025-5600
Phone number: 713-474-4171
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