DR. DREW GEORGE WALLACE (NPI# 1205921608) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205921608 |
| Entity Type | Individual |
| Full Name | DR. DREW GEORGE WALLACE |
| Credential | D.C. |
| Practice Address |
1801 West Avenue N San Angelo TX 76904 |
| Practice Telephone | 3259497878 |
| Practice Fax Number | 3259447703 |
| Mailing Telephone | 3259497878 |
| Mailing Fax Number | 3259447703 |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 6345 | TX | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669878625 | Drew Michael Wallace | Specialist/Technologist | 17823 Poplar Grove Rd, Poplar Grove, IL 61065-9014 | 2014-11-18 |
| 1295899698 | Drew D Wallace | Psychologist | 6893 Sw 18th St, Suite F-101, Boca Raton, FL 33433-7044 | 2006-12-20 |
| 1437114139 | Drew A Wallace | Physical Therapist | 1600 Bethlehem Pike, Flourtown, PA 19031-2026 | 2006-04-18 |
| Street Address |
1801 WEST AVENUE N |
| City | SAN ANGELO |
| State | TX |
| Zip Code | 76904 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407342702 | Mark Wandal Duncan | Specialist/Technologist | 2237 South Jackson, San Angelo, TX 76904 | 2018-07-10 |
| 1700267259 | Sheila Patterson | Nurse Practitioner | 4251 Sunset Drive, San Angelo, TX 76904 | 2015-06-10 |
| 1346649316 | Mason William Mcclintock | Dentist | 2402 College Hills Blvd. Building 1, Building 1, San Angelo, TX 76904 | 2014-08-15 |
| 1265855712 | Lynn M. Thebo, Lcsw, Pllc | Social Worker | 3109 Southwest Blvd. Ste. B, San Angelo, TX 76904 | 2014-02-03 |
| 1487077459 | Lynn Marie Thebo | Social Worker | 3109 Southwest Blvd., Ste. B, San Angelo, TX 76904 | 2014-01-28 |
| 1558646521 | John Porter Parker Jr. | Pharmacist | 3705 Threewn Trail, San Angelo, TX 76904 | 2011-10-20 |
| 1568772036 | Medical Alliance Group of Texas, LLC | Durable Medical Equipment & Medical Supplies | 2525 S Johnson Ste A, San Angelo, TX 76904 | 2010-10-18 |
| 1578796710 | Jennifer L White | Physical Therapist | 2237 S. Jackson, San Angelo, TX 76904 | 2009-09-03 |
| 1548443203 | Kelly K. Sawyer, D.d.s., P.a. | Dentist | 3013 W. Loop 306, San Angelo, TX 76904 | 2007-12-17 |
| 1023224789 | D&s Residential Services | Intermediate Care Facility, Mentally Retarded | 1706 Idaho Avenue, San Angelo, TX 76904 | 2007-05-16 |
| Find all providers in zip 76904 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629542816 | Emily Smith | Chiropractor | 5114 Knickerbocker Rd, San Angelo, TX 76904-7714 | 2019-01-22 |
| 1164831517 | Cheryl Jeanine Humphrey | Chiropractor | 210 E 20th St, San Angelo, TX 76903-3025 | 2014-08-11 |
| 1376729731 | Two Storey Chiropractic Pa | Chiropractor | 2412 College Hills Blvd Ste 206, San Angelo, TX 76904-8425 | 2008-01-16 |
| 1477747806 | Lonestar Chiropractic Clinics Incorporated | Chiropractor | 4116 Sunset Dr, San Angelo, TX 76904-5614 | 2007-08-29 |
| 1811015670 | Jim W. Collier, Dcpa | Chiropractor | 4241 Southwest Blve Ste 106, San Angelo, TX 76904-5687 | 2007-03-27 |
| 1588728315 | Kelvin Keith Ward | Chiropractor | 2858 W Beauregard Ave, San Angelo, TX 76901-3607 | 2006-12-19 |
| 1629156161 | Jeffrey Gray Power | Chiropractor | 3419a Johnson Ave, San Angelo, TX 76904-5554 | 2006-11-01 |
| 1720199037 | Concho Valley Rehab, P.a. | Chiropractor | 2215 W Beauregard Ave, San Angelo, TX 76901-3701 | 2006-08-31 |
| 1417067273 | Steven W Brooks | Chiropractor | 4116 Sunset Drive, Sunset Chiropractic, San Angelo, TX 76904 | 2006-08-30 |
| 1417063827 | Timothy Shaun Pittman | Chiropractor | 3467 Knickerbocker Rd, Suite B, San Angelo, TX 76904-6896 | 2006-08-21 |
| Find all providers in SAN ANGELO | ||||
| City | SAN ANGELO |
| Zip Code | 76904 |
Please comment or provide details below to improve the information on DR. DREW GEORGE WALLACE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.