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

Mark Lynn Wallace Jr.

Individual provider Peer Specialist · NPI 1346198611

Mark Lynn Wallace Jr. is a Peer Specialist in Tulsa, Oklahoma. Practices as a sole proprietor. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

1728 S Carson Ave
Tulsa, OK 74119-4610
Phone: (918) 406-3420
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X

Record details

NPI number1346198611
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 20, 2026
Last updated in NPPESApril 3, 2026
Certification dateApril 3, 2026
Mailing address2701 S Juniper Ave Apt 102, Broken Arrow, OK 74012-7731

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