Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ALLEN WALLACE
Active Sole ProprietorALLEN WALLACE is a Private Vehicle healthcare provider located in LUBBOCK, Texas. NPI 1417683293 is currently active in the NPPES registry. Verify at CMS.
Private Vehicle · LUBBOCK, TX
Registration Details
- NPI Number
- 1417683293
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 25, 2022 (4.0757557783227 yrs)
- Last Updated
- Jan 10, 2023
- Licenses
-
22954496 (TX)22954496 (TX)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3506 E 14TH STLUBBOCK, TX, 794036207Browse TX providers · Browse ZIP 79403
- Phone
- 8067773607
- Primary Specialty
-
Private Vehicle
347C00000X
- Additional Specialty
- Private Vehicle
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.