Wallach, Perry

Wallach, Perry is an individual health care provider with primary practice located at 1000 E 5Th St , Tyler TX 75701-3346. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Wallach, Perry can be contacted via phone (903) 596-3500.

Contact Information

Primary practice address
1000 E 5Th St Tyler TX 75701-3346
Phone: (903) 596-3500
Fax: (903) 596-3536
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X M3420 Texas
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X M3420 Texas

Profile Details

NPI number 1538115431
LBN Legal business name Wallach, Perry
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 25th, 2006
Last updated Dec 26th, 2014 - about 11 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538115431 NPPES
Texas Other P00326295 RAILROAD MEDICARE
Texas Other 8S6187 RAILROAD MEDICARE
Texas MEDICAID 181008701 RAILROAD MEDICARE

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