| Sharon Wallace Md Pa | |
|
4 Professional Park Dr Webster TX 77598-4127 | |
| (281) 316-1000 | |
| (281) 316-0110 |
| Full Name | Sharon Wallace Md Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 4 Professional Park Dr, Webster, Texas |
| Authorized Official Name and Position | Sharon Renee Wallace (OWNER) |
| Authorized Official Contact | 2813161000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sharon Wallace Md Pa Po Box 57487 Webster TX 77598-7487 Ph: (281) 316-1000 | Sharon Wallace Md Pa 4 Professional Park Dr Webster TX 77598-4127 Ph: (281) 316-1000 |
| NPI Number | 1407165137 |
|---|---|
| Provider Enumeration Date | 09/29/2010 |
| Last Update Date | 09/29/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407165137 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | K0394 (Texas) | Primary |
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