MIKAELA WALLACE

LUBBOCK, TX
NPI1992298467
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: TX  T2287)
Enumeration Date2018-06-10
Last Update Date2023-05-25
Business Address
Dr. MIKAELA WALLACE MD
7301 MILWAUKEE AVE
LUBBOCK, TX 79424-0626
Phone number: 806-761-0464
Mailing Address
Dr. MIKAELA WALLACE MD
5219 CITY BANK PKWY STE 35
LUBBOCK, TX 79407-3545
Phone number: 806-761-0334
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