Shawnee Wallace, DO is a student in an organized health care education training program in San Antonio, TX. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Shawnee Wallace, DO NPI is 1861073694. 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:
100 N SANTA ROSA
SAN ANTONIO, TX
ZIP 78207-205
Phone: (210) 704-3910
The enumeration date for this NPI number is 4/14/2021 and was last updated on 4/14/2021.