person
Stacy L Wallace, RD
Metabolic Nutrition Registered Dietitian in San Antonio, Texas
NPI 1487896668

Stacy L Wallace is a Metabolic Nutrition Registered Dietitian based in Houston, TX and is specialized in Nutrition, Metabolic. Stacy L Wallace practices in San Antonio, TX and has the professional credentials of RD. The NPI Number for Stacy L Wallace is 1487896668 and holds a License No. 855077 (Texas).

The current practice location address for Stacy L Wallace is 20330 Huebner Rd, San Antonio, TX and can be reached out via phone at 832-237-3500 and via fax at 832-237-0200. You can also correspond with Stacy L Wallace through the mailing address at 11321 FALLBROOK DR, HOUSTON, TX - 77065-4232 (mailing address contact number: 832-237-3500).

Location: 20330 Huebner Rd, San Antonio, TX, 77065-4232
person
Provider Profile Details
NPI Number
1487896668
Provider Name
Stacy L Wallace
Credential
RD
Provider Entity Type
Individual
Gender
Female
Address
20330 Huebner Rd, San Antonio, TX, 77065-4232
Phone Number
832-237-3500
Fax Number
832-237-0200
Provider Enumeration Date
04/02/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
20330 Huebner Rd
City
State
Zip
78258-3508
Phone Number
832-237-3500
Fax Number
832-237-0200
person
Provider Business Mailing Address Details
Address
20330 Huebner Rd
City
State
Zip
78258-3508
Phone Number
832-237-3500
Fax Number
832-237-0200
person
Provider's Taxonomy Details 1
Type
Dietary & Nutritional Service Providers
Classification
Dietitian, Registered
Speciality
Nutrition, Metabolic
Taxonomy
License No.
855077 (Texas)
Definition
Definition to come...
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