Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
STACY L WALLACE, RD
ActiveSTACY L WALLACE, RD is a Metabolic Nutrition healthcare provider located in SAN ANTONIO, Texas. NPI 1487896668 is currently active in the NPPES registry. Verify at CMS.
Metabolic Nutrition · SAN ANTONIO, TX
Registration Details
- NPI Number
- 1487896668
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 2, 2009 (17.323275812894 yrs)
- Last Updated
- Apr 2, 2009
- License
-
855077 (TX)
Practice Information
- Address
-
20330 HUEBNER RDSUITE 104SAN ANTONIO, TX, 782583508Browse TX providers · Browse ZIP 78258
- Phone
- 8322373500
- Fax
- 8322370200
- Primary Specialty
-
Metabolic Nutrition
133VN1006X
Other Metabolic Nutrition Providers in SAN ANTONIO, TX
| Name | Credential | NPI |
|---|---|---|
| BETHANY L ZIMBICKI | RD | 1114162153 |
| KAREN SUE POENISCH | R.D., L.D., C.D.E. | 1386876381 |
| MRS. PATRICIA M PARKER | RD, LD, CDE | 1073891230 |
| MS. NORA ELIA KWIATKOWSKI | RD LD CDE | 1427430065 |
| MS. TATJANA WALKER | RDN, LDN, CDE | 1700252848 |
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.