TIM WALLACE

SAN ANTONIO, TX
NPI1952087298
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2023-06-22
Last Update Date2023-06-22
Business Address
TIM WALLACE
2012 NW MILITARY HWY STE 100
SAN ANTONIO, TX 78213-2130
Phone number: 713-686-9194
Mailing Address
TIM WALLACE
101 FEU FOLLET RD STE 100
LAFAYETTE, LA 70508-4234
Phone number: 713-686-9194
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