Robert Brandon Wallace, RD | |
18511 Highlander Medics St, Fort Bliss, TX 79906-5327 | |
(301) 400-3905 | |
Not Available |
Full Name | Robert Brandon Wallace |
---|---|
Gender | Male |
Speciality | Dietitian, Registered |
Location | 18511 Highlander Medics St, Fort Bliss, Texas |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053018366 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | 86376928 (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
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Robert Brandon Wallace, RD 18511 Highlander Medics St, Fort Bliss, TX 79906-5327 Ph: () - | Robert Brandon Wallace, RD 18511 Highlander Medics St, Fort Bliss, TX 79906-5327 Ph: (301) 400-3905 |
William Hall, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 18511 Highlander Medics St, Fort Bliss, TX 79906 Phone: 915-742-7777 | |
Rachel Seguin, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 18511 Highlander Medics St, Fort Bliss, TX 79906 Phone: 915-920-6006 | |
Mrs. Lori Walker Maggioni, MS, RDN, CSOWM Dietitian Medicare: Not Enrolled in Medicare Practice Location: 18511 Highlander Medics St, Fort Bliss, TX 79906 Phone: 915-742-7777 | |
Carla Janedth Trochez, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 20165 Kasserine Way, Fort Bliss, TX 79936 Phone: 832-317-0136 |