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

Mark Wallace

Individual provider Case Manager/Care Coordinator · NPI 1093501801

Mark Wallace is a Case Manager/Care Coordinator in Oklahoma City, Oklahoma. Practices as a sole proprietor. Registered with an NPI since 2025.

In the registry since
2025
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Practice location Address checks out

1510 NW 18th St
Oklahoma City, OK 73106-4214
Phone: (845) 413-9271
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X

Record details

NPI number1093501801
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 17, 2025
Last updated in NPPESApril 17, 2025
Certification dateApril 17, 2025

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