Brent H Wallace in Cleburne - Internal Medicine
Brent H Wallace - NPI 1386638252
Brent H Wallace is a Internal Medicine in Cleburne, Texas. Brent H Wallace practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Brent H Wallace is 1386638252. The last update date is 2007-07-08.
Brent H Wallace's current location address is 141 Hyde Park Blvd, Cleburne, Texas. You can contact this provider via phone number 8176415221 and fax number 8175175241. The mailing address for Brent H Wallace is 141 Hyde Park Blvd, Cleburne, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brent H Wallace |
|---|---|
| Address | 141 Hyde Park Blvd, Cleburne, Texas |
| Phone Number | 8176415221 |
| Fax Number | 8175175241 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1386638252 |
|---|---|
| Provider Enumeration Date | 2005-09-07 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 141 Hyde Park Blvd |
|---|---|
| City | Cleburne |
| State | Texas (TX) |
| Post Code | 760334561 |
| Phone Number | 8176415221 |
| Fax Number | 8175175241 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | F2093 |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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Post Comment/ Review Below
What is the unique identifier code issued to Brent H Wallace by the Centers for Medicare & Medicaid Services?
The Brent H Wallace has been assigned the NPI (National Provider Identifier) 1386638252. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Brent H Wallace is geographically located?
The Brent H Wallace is physically situated at the following location: 141 Hyde Park Blvd, Cleburne, TX, 760334561.
What is Brent H Wallace's specialized field of practice, and what is the corresponding taxonomy classification code?
The Brent H Wallace's area of specialization is Internal Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207R00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1386638252 to Brent H Wallace?
The Centers for Medicare & Medicaid Services originally issued the 1386638252 to Brent H Wallace on 2005-09-07.
When was the information related to Brent H Wallace most recently updated or refreshed?
The details pertaining to the Brent H Wallace, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.