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

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
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Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Harlingen, TX

No coordinates on file. Search this address in Google Maps

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

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