Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Allen Wallace

Individual provider Driver · NPI 1417683293

Allen Wallace is a Driver in Lubbock, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2022
Specialties on file
2

Practice location Address checks out

3506 E 14th St
Lubbock, TX 79403-6207
Phone: (806) 777-3607
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Private Vehicle (primary) Taxonomy 347C00000X · Licence 22954496 (TX)
Driver Taxonomy 172A00000X · Licence 22954496 (TX)

Record details

NPI number1417683293
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 25, 2022
Last updated in NPPESJanuary 10, 2023
Certification dateJanuary 10, 2023
Mailing address6923 Indiana Ave # 335, Lubbock, TX 79413-6111

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