Bruce Wall is a Nephrology in Dallas, Texas. Bruce Wall practices all healthcare services and medical treatments related to Nephrology. The NPI Number for Bruce Wall is 1861446130. The last update date is 2008-01-22.
Bruce Wall's current location address is 1420 Viceroy Dr, Dallas, Texas. You can contact this provider via phone number 2143582300 and fax number 2143666127. The mailing address for Bruce Wall is 1420 Viceroy Dr, Dallas, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bruce Wall |
|---|---|
| Address | 1420 Viceroy Dr, Dallas, Texas |
| Phone Number | 2143582300 |
| Fax Number | 2143666127 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1861446130 |
|---|---|
| Provider Enumeration Date | 2006-05-20 |
| Last Updated Date | 2008-01-22 |
Provider Mailing Address Detail
| Address | 1420 Viceroy Dr |
|---|---|
| City | Dallas |
| State | Texas (TX) |
| Post Code | 752352208 |
| Phone Number | 2143582300 |
| Fax Number | 2143666127 |
Provider's Primary Taxonomy Detail
| Speciality | Nephrology |
|---|---|
| Taxonomy | 207Rn0300X |
| Licence No | G1312 |
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Definition: An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4072827 | TX | AETNA # | |
| 2323106 | TX | BCBS BLUELINK # | |
| 1912239 | LA | LOUISIANA MCD # |
Post Comment/ Review Below
What is the Bruce Wall's 1861446130?
The Bruce Wall's NPI (National Provider Identifier) Number is 1861446130. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Bruce Wall is geographically located?
The Bruce Wall is physically situated at the following location: 1420 Viceroy Dr, Dallas, TX, 752352208.
What is the Bruce Wall's specialty and taxonomy code?
The Bruce Wall's specialty is Nephrology, and the corresponding taxonomy code is 207Rn0300X.
On what date did the Bruce Wall receive the assignment of its 1861446130 from the Centers for Medicare & Medicaid Services?
The Bruce Wall was issued its 1861446130 by the Centers for Medicare & Medicaid Services on 2006-05-20.
When was the information regarding Bruce Wall most recently updated?
The details pertaining to the Bruce Wall, including its address, specialty, and other relevant information, were last refreshed on 2008-01-22.
NPI Number: 1588667679
Address: 9104 Babcock Blvd, Pittsburgh, PA