Individual provider · Type 1 NPI
Drew George Wallace, DC
Chiropractor · San Angelo, TX
NPI number
1205921608
Active
Practice location
1801 West Avenue N
San Angelo, TX 76904
Fax (325) 944-7703
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 6345 (TX) |
Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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About NPI 1205921608
Drew George Wallace, DC's National Provider Identifier is 1205921608, issued on Oct 3, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in San Angelo, TX. The record was last updated on Jul 8, 2007.