Lucy B Wallace MD PA

NPI #1902284227 in Mckinney, Texas

Provider Information

NPI Number: 1902284227
Entity Type: Organization
Organization Name: Lucy B Wallace MD PA
Primary Specialty: Surgery
Enumeration Date: May 7, 2015
Last Updated: May 7, 2015

Practice Location

Address: 175 RIDGE RD
Address 2: SUITE 200
City: Mckinney
State: Texas
ZIP Code: 75070-5397
Phone: (469) 287-8381

Authorized Official

Name: LUCY BROOKS WALLACE, MD
Title: PRESIDENT
Phone: (214) 288-9955

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery - Trauma Surgery — Trauma Surgery	2086S0127X
Surgery - Surgical Oncology — Surgical Oncology	2086X0206X
Surgery	208600000X	Primary

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