Joe L Wallace, Mdpa in Odessa - Family Medicine
Joe L Wallace, Mdpa - NPI 1881784098
Joe L Wallace, Mdpa is a Family Medicine in Odessa, Texas. Joe L Wallace, Mdpa practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Joe L Wallace, Mdpa is 1881784098. The last update date is 2020-08-22.
Joe L Wallace, Mdpa's current location address is 3001 W University Blvd, Odessa, Texas. You can contact this provider via phone number 4325805966 and fax number 4325807413. The mailing address for Joe L Wallace, Mdpa is 3001 W University Blvd, Odessa, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Joe L Wallace, Mdpa |
|---|---|
| Address | 3001 W University Blvd, Odessa, Texas |
| Phone Number | 4325805966 |
| Fax Number | 4325807413 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MANAGER |
|---|---|
| Authorized Official Name | Wren Kathy |
| Telephone Number | 4325805966 |
NPI Number Detail
| NPI Number | 1881784098 |
|---|---|
| Provider Enumeration Date | 2006-10-16 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 3001 W University Blvd |
|---|---|
| City | Odessa |
| State | Texas (TX) |
| Post Code | 797647129 |
| Phone Number | 4325805966 |
| Fax Number | 4325807413 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00568R | TX | BCBS |
Post Comment/ Review Below
What is the unique identification code assigned to Joe L Wallace, Mdpa by the Centers for Medicare & Medicaid Services?
The Joe L Wallace, Mdpa has been issued the NPI (National Provider Identifier) 1881784098. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Joe L Wallace, Mdpa located?
The Joe L Wallace, Mdpa is located at 3001 W University Blvd, Odessa, TX 797647129.
What is the Joe L Wallace, Mdpa's area of specialization and corresponding taxonomy classification?
The Joe L Wallace, Mdpa's specialty field is Family Medicine, and it falls under the taxonomy code 207Q00000X, which categorizes healthcare providers based on their specialties.
On what date did the Joe L Wallace, Mdpa receive the assignment of its 1881784098 from the Centers for Medicare & Medicaid Services?
The Joe L Wallace, Mdpa was issued its 1881784098 by the Centers for Medicare & Medicaid Services on 2006-10-16.
As of what date was the information pertaining to Joe L Wallace, Mdpa, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Joe L Wallace, Mdpa, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-08-22.