Wallace, Richard James
Wallace, Richard James is an individual health care provider with primary practice located at 11937 Us Highway 271 , Tyler TX 75708-3154. He recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as his primary health care specialty. Wallace, Richard James can be contacted via phone (903) 877-7777.Contact Information
Primary practice address
11937 Us Highway 271
Tyler TX 75708-3154
Phone: (903) 877-7777
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | D9705 | Texas |
Profile Details
| NPI number | 1083698609 |
|---|---|
| LBN Legal business name | Wallace, Richard James |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 6th, 2005 |
| Last updated | Oct 21st, 2016 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1083698609 | NPPES |
| Texas | MEDICAID | 100861704 |
Popular Providers
-
Abbruzzese, Mark Robert
6400 Goldsboro Rd Suite#330, Bethesda MD 20817-5826 -
Meier, Jeffery L
200 Hawkins Dr , Iowa City IA 52242-1009 -
Barnes, Peter Francis
11937 Us Highway 271 , Tyler TX 75708-3154 -
Lakey, David Leroy
11937 Us Highway 271 , Tyler TX 75708-3154 -
Veselinovic, Mladjen
11937 Us Highway 271 , Tyler TX 75708-3154 -
Ssali, Francis
800 E Dawson St , Tyler TX 75701-2036 -
Serpa-Alvarez, Jose Augusto
11937 Us Highway 271 , Tyler TX 75708-3154 -
Hebbeler-Clark, Renee Suzanne
1000 S Beckham Ave , Tyler TX 75701-1908