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

Scott Robert Wallace

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1104359975

Scott Robert Wallace is a Student in an Organized Health Care Education/Training Program in Harlingen, Texas. Works from 2 locations. Licensed in Texas.

Licensed in
TX
In the registry since
2017
Specialties on file
2

Practice location Address checks out

103 N Loop 499
Harlingen, TX 78550-2557
Phone: (956) 289-7000
Fax: (956) 513-0409
Show map & directions

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

Additional practice locations (1)

  • 1901 S 24th Ave, Edinburg, TX 78539-6533 — (956) 289-7025

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence BP10059771 (TX)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1104359975
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 7, 2017
Last updated in NPPESMarch 26, 2019
Mailing address1901 S 24th Ave, Edinburg, TX 78539-6533

Other providers in Harlingen