Ernest Wallace

Contractor · Lawton, OK

Individual Active NPI

NPI number 1942612551

Practice location

1716 NW Cache Rd
Suite B
Lawton, OK 73507-4551
Phone
(580) 574-8414

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NPI record

NPI
1942612551
Entity type
Individual (Type 1)
Enumeration date
May 30, 2014
Last updated
May 30, 2014
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Contractor Primary 171W00000X — —

About Ernest Wallace

Ernest Wallace is a healthcare provider registered in the NPI registry with the primary taxonomy Contractor (code 171W00000X). The practice location is 1716 NW Cache Rd, Suite B, Lawton, OK 73507-4551. The NPI number 1942612551 was assigned on May 30, 2014 and the record was last updated on May 30, 2014.

Frequently asked questions

What is the NPI number of Ernest Wallace?

The NPI number is 1942612551.

What is the phone number of Ernest Wallace?

The phone number listed for the practice location is (580) 574-8414.

Where is Ernest Wallace located?

1716 NW Cache Rd, Suite B, Lawton, OK 73507-4551.

What is the taxonomy code for Ernest Wallace?

The primary taxonomy code is 171W00000X – Contractor.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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