person
Charles Alan Wallace, MD
Plastic and Reconstructive Surgery Physician in Dallas, Texas
NPI 1164422481

Charles Alan Wallace is a Plastic and Reconstructive Surgery Physician based in Dallas, TX and is specialized in Plastic and Reconstructive Surgery. Charles Alan Wallace practices in Dallas, TX and has the professional credentials of MD. The NPI Number for Charles Alan Wallace is 1164422481 and holds a License No. G3885 (Texas).

The current practice location address for Charles Alan Wallace is 17110 Dallas Pkwy, Dallas, TX and can be reached out via phone at 972-380-7090 and via fax at 972-380-7016.

Location: 17110 Dallas Pkwy, Dallas, TX, 75248-1167
person
Provider Profile Details
NPI Number
1164422481
Provider Name
Charles Alan Wallace
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
17110 Dallas Pkwy, Dallas, TX, 75248-1167
Phone Number
972-380-7090
Fax Number
972-380-7016
Provider Enumeration Date
07/28/2005
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
17110 Dallas Pkwy
City
State
Zip
75248-1167
Phone Number
972-380-7090
Fax Number
972-380-7016
person
Provider Business Mailing Address Details
Address
17110 Dallas Pkwy
City
State
Zip
75248-1167
Phone Number
972-380-7090
Fax Number
972-380-7016
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Plastic and Reconstructive Surgery
Taxonomy
License No.
G3885 (Texas)
Definition
A surgeon who specializes in plastic and reconstructive surgery.
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