RYAN TODD WALLACE

HOUSTON, TX
NPI1770228264
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2022-04-29
Last Update Date2022-04-29
Business Address
RYAN TODD WALLACE MD
1 BAYLOR PLZ
HOUSTON, TX 77030-3411
Phone number: 713-798-5588
Mailing Address
RYAN TODD WALLACE MD
1512 E SANTIAGO LN APT 31
SALT LAKE CITY, UT 84121-6571
Phone number: 208-932-3234
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