| James B Wallace Jr Dds Inc | |
|
6618 Fm 2100 Crosby TX 77532 | |
| (281) 328-3569 | |
| Not Available |
| Full Name | James B Wallace Jr Dds Inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 6618 Fm 2100, Crosby, Texas |
| Authorized Official Name and Position | Jason J Wallace (OWNER OF ESTATE) |
| Authorized Official Contact | 2813283569 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| James B Wallace Jr Dds Inc Po Box 1345 Crosby TX 77532 Ph: (281) 328-3569 | James B Wallace Jr Dds Inc 6618 Fm 2100 Crosby TX 77532 Ph: (281) 328-3569 |
| NPI Number | 1154551778 |
|---|---|
| Provider Enumeration Date | 07/16/2009 |
| Last Update Date | 07/16/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154551778 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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