Wallace, Stacy L

Wallace, Stacy L is an individual health care provider with primary practice located at 20330 Huebner Rd Suite 104, San Antonio TX 78258-3508. She recently has only one registered license in Dietary & Nutritional Service Providers / Nutrition, Metabolic, which is considered as her primary health care specialty. Wallace, Stacy L can be contacted via phone (832) 237-3500.

Contact Information

Primary practice address
20330 Huebner Rd Suite 104 San Antonio TX 78258-3508
Phone: (832) 237-3500
Fax: (832) 237-0200
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutrition, Metabolic 133VN1006X 855077 Texas

Profile Details

NPI number 1487896668
LBN Legal business name Wallace, Stacy L
Credentials Registered Dietitian (RD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 2nd, 2009
Last updated Apr 2nd, 2009 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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