person
Cory L Wallace, DPM
Foot & Ankle Surgery Podiatrist in San Antonio, Texas
NPI 1780998112

Cory L Wallace is a Foot & Ankle Surgery Podiatrist based in San Antonio, TX and is specialized in Foot & Ankle Surgery. Cory L Wallace practices in San Antonio, TX and has the professional credentials of DPM. The NPI Number for Cory L Wallace is 1780998112 and holds a License No. 2047 (Texas).

The current practice location address for Cory L Wallace is 8715 Village Dr Ste 400, San Antonio, TX and can be reached out via phone at 210-732-3668 and via fax at 210-732-3338.

Location: 8715 Village Dr Ste 400, San Antonio, TX, 78217-5407
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Provider Profile Details
NPI Number
1780998112
Provider Name
Cory L Wallace
Credential
DPM
Provider Entity Type
Individual
Gender
Female
Address
8715 Village Dr Ste 400, San Antonio, TX, 78217-5407
Phone Number
210-732-3668
Fax Number
210-732-3338
Provider Enumeration Date
07/27/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
297723YMVU 01 TX WMG PTAN
institution
Provider Business Practice Location Address Details
Address
8715 Village Dr Ste 400
City
State
Zip
78217-5407
Phone Number
210-732-3668
Fax Number
210-732-3338
person
Provider Business Mailing Address Details
Address
8715 Village Dr Ste 400
City
State
Zip
78217-5407
Phone Number
210-732-3668
Fax Number
210-732-3338
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
2047 (Texas)
Definition
Definition to come...
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