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

Stacy L Wallace, RD

Individual provider Metabolic Nutrition Registered Dietitian · NPI 1487896668

Stacy L Wallace, RD is a Metabolic Nutrition Registered Dietitian in San Antonio, Texas. Licensed in Texas. Registered with an NPI since 2009.

Licensed in
TX
In the registry since
2009
What do these letters mean?
RD — Registered Dietitian
A credentialed nutrition professional.

See every abbreviation used in this directory →

Practice location Address checks out

20330 Huebner Rd Ste 104
San Antonio, TX 78258-3508
Phone: (832) 237-3500
Fax: (832) 237-0200
Show map & directions

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

Specialties & licences

Metabolic Nutrition Registered Dietitian (primary) Taxonomy 133VN1006X · Licence 855077 (TX)

Record details

NPI number1487896668
Entity typeIndividual (Type 1)
GenderFemale
Credentials RD
Sole proprietorNo
NPI enumeratedApril 2, 2009
Last updated in NPPESApril 2, 2009
Mailing address11321 Fallbrook Dr, Houston, TX 77065-4232

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