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1962445825
WILLIAM R WALLACE
TYLER, TX
NPI
1962445825
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: TX H9585)
Enumeration Date
2006-06-14
Last Update Date
2010-04-02
Business Address
WILLIAM R WALLACE MD
1809 CAPITAL DR
TYLER, TX 75701-8438
Phone number: 903-509-4499
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Mailing Address
WILLIAM R WALLACE MD
1809 CAPITAL DR
TYLER, TX 75701-8438
Phone number: 903-509-4499
Copy
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