Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CHARLES ALAN WALLACE, MD
Active Sole ProprietorCHARLES ALAN WALLACE, MD is a Plastic and Reconstructive Surgery healthcare provider located in DALLAS, Texas. NPI 1164422481 is currently active in the NPPES registry. Verify at CMS.
Plastic and Reconstructive Surgery · DALLAS, TX
Registration Details
- NPI Number
- 1164422481
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 28, 2005 (20.902787114772 yrs)
- Last Updated
- Jul 14, 2010
- License
-
G3885 (TX)
- Sole Proprietor
- Yes
Practice Information
- Address
-
17110 DALLAS PKWYSUITE 100DALLAS, TX, 752481167Browse TX providers · Browse ZIP 75248
- Phone
- 9723807090
- Fax
- 9723807016
- Primary Specialty
-
Plastic and Reconstructive Surgery
2086S0122X
Other Plastic and Reconstructive Surgery Providers in DALLAS, TX
| Name | Credential | NPI |
|---|---|---|
| GREGG MICHAEL ANIGIAN | MD | 1538169966 |
| DR. CARLOS RAUL BARCELO | M.D. | 1447233523 |
| DR. JEFFREY DONALD HOPKINS | MD | 1881670172 |
| DR. RICHARD HA | M.D. | 1609849207 |
| DR. PAUL CREIGHTON HOBAR | M.D. | 1578537155 |
| DR. JOHN L BURNS | M.D. | 1952375321 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.