DR. Angela Darlene Wallace, M.D.

NPI #1255510848 in Waco, Texas

Provider Information

NPI Number: 1255510848
Entity Type: Individual
Name: DR. Angela Darlene Wallace, M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Anesthesiology
Credential: M.D.
Enumeration Date: Oct 31, 2007
Last Updated: Jan 25, 2022

Practice Location

Address: 100 HILLCREST MEDICAL BLVD
City: Waco
State: Texas
ZIP Code: 76712-8897
Phone: (254) 202-5631

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Anesthesiology	207L00000X	Primary

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