person
Shawnee Wallace, DO
Student in an Organized Health Care Education/Training Program in San Antonio, Texas
NPI 1861073694

Shawnee Wallace is a Student in an Organized Health Care Education/Training Program based in Houston, TX. Shawnee Wallace practices in San Antonio, TX and has the professional credentials of DO. The NPI Number for Shawnee Wallace is 1861073694 and holds a License No. (Texas).

The current practice location address for Shawnee Wallace is 100 N Santa Rosa, San Antonio, TX and can be reached out via phone at 210-704-3910.

Location: 100 N Santa Rosa, San Antonio, TX, 77030-3411
person
Provider Profile Details
NPI Number
1861073694
Provider Name
Shawnee Wallace
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
100 N Santa Rosa, San Antonio, TX, 77030-3411
Phone Number
210-704-3910
Fax Number
Provider Enumeration Date
04/14/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
100 N Santa Rosa
City
State
Zip
78207-3205
Phone Number
210-704-3910
Fax Number
person
Provider Business Mailing Address Details
Address
100 N Santa Rosa
City
State
Zip
78207-3205
Phone Number
210-704-3910
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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