STACY L WALLACE RD NPI 1487896668

NPI Information

NPI: 1487896668
Provider Name: STACY L WALLACE, RD
Classification: Dietitian, Registered - 133VN1006X
Entity Type: Individual

Specialization: Nutrition, Metabolic

Address:
20330 HUEBNER RD
SUITE 104
SAN ANTONIO, TX
ZIP 78258
Phone: (832) 237-3500
Get Directions

Stacy L Wallace, RD is a nutrition and metabolic dietitian registered in San Antonio, TX. Stacy L Wallace, RD NPI is 1487896668. 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:

20330 HUEBNER RD
SUITE 104
SAN ANTONIO, TX
ZIP 78258-508
Phone: (832) 237-3500
Fax: (832) 237-0200

The enumeration date for this NPI number is 4/2/2009 and was last updated on 4/2/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	133VN1006X	Dietitian, Registered	Nutrition, Metabolic	855077	TEXAS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »