Cory L Wallace, DPM is a foot and ankle surgery podiatrist in San Antonio, TX with 14 years of experience. Cory L Wallace, DPM NPI is 1780998112. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
Education
Medical School: TEMPLE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2010
The provider's business location address is:
8715 VILLAGE DR STE 400
SAN ANTONIO, TX
ZIP 78217-407
Phone: (210) 732-3668
Fax: (210) 732-3338
The NPI 1780998112 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).
The enumeration date for this NPI number is 7/27/2010 and was last updated on 9/10/2021.