GARRETT WALLACE

TYLER, TX
NPI1992596738
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
(Licence: TX  BP10095005)
Enumeration Date2025-05-13
Last Update Date2025-05-13
Business Address
GARRETT WALLACE DO
11937 US HIGHWAY 271
TYLER, TX 75708-3154
Phone number: 903-877-7200
Mailing Address
GARRETT WALLACE DO
11937 US HIGHWAY 271
TYLER, TX 75708-3154
Phone number: 903-877-7200
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