Stacy Wallace, NP is a pediatrics nurse practitioner in San Antonio, TX. Stacy Wallace, NP NPI is 1205843422. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
1702 N ALAMO ST
SUITE 220
SAN ANTONIO, TX
ZIP 78215-201
Phone: (210) 224-1823
Fax: (210) 224-7011
The enumeration date for this NPI number is 8/1/2006 and was last updated on 1/27/2010.