Individual provider · Type 1 NPI

Jesse Bryan Wallace, DC

Chiropractor · San Antonio, TX

NPI number 1871794495 Active

Practice location

7410 Blanco Rd, Suite 400
San Antonio, TX 78216-4363

Call (800) 404-6050 Map

Fax (210) 477-7631

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000X10627 (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 1871794495

Jesse Bryan Wallace, DC's National Provider Identifier is 1871794495, issued on May 30, 2007. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in San Antonio, TX. The record was last updated on Aug 21, 2008.