Charles Alan Wallace, MD
NPI #1164422481 in Dallas, Texas
Provider Information
- NPI Number
- 1164422481
- Entity Type
- Individual
- Name
- Charles Alan Wallace, MD
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Surgery - Plastic and Reconstructive Surgery
- Credential
- MD
- Enumeration Date
- Jul 28, 2005
- Last Updated
- Jul 14, 2010
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Surgery - Plastic and Reconstructive Surgery — Plastic and Reconstructive Surgery |
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