LUCY B WALLACE MD PA
Radiology at Ridge Rd, Mckinney, TX

License number
Texas N4832
Category
Radiology
Type
Surgery
License number
Texas N4832
Category
Radiology
Type
Trauma Surgery
License number
Texas N4832
Category
Radiology
Type
Surgical Oncology
Owner
Name: LUCY BROOKS WALLACE MD
Title: PRESIDENT
Phone: (214) 288-9955
Address
Address 2
175 Ridge Rd SUITE 200, Mckinney, TX 75070
25 Highland Park Vlg, Dallas, TX 75205
National Provider ID: 1902284227
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about LUCY B WALLACE MD PA at bizstanding.com

LUCY B. WALLACE M.D., PA

4151 Wycliff Ave APT 101, Dallas, TX 75219

Status:
Inactive
Doing business as:
Lucy B. Wallace M.D., PA
Registration:
Jul 18, 2011
State ID:
0801453652
Business type:
Professional Association
Executive Committee:
Lucy Brooks Wallace Executive Committee, inactive
TIN:
32044657115

LUCY B. WALLACE MD, PA

930 N Clinton Ave, Dallas, TX 75208

Status:
Inactive
Doing business as:
Lucy B. Wallace M.D., PA
Registration:
Aug 26, 2013
State ID:
0801843118
Business type:
Professional Association
Agent:
Lucy B Wallace,930 N Clinton Ave, Dallas, TX 75208 (Physical)
TIN:
32051879057

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