David Michael Wallace in Richmond - Sports Medicine
David Michael Wallace - NPI 1437349479
David Michael Wallace is a Sports Medicine in Richmond, Texas. David Michael Wallace practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for David Michael Wallace is 1437349479. The last update date is 2020-02-27.
David Michael Wallace's current location address is 22001 Southwest Fwy Ste 300, Richmond, Texas. You can contact this provider via phone number 2816334940 and fax number 2816334943. The mailing address for David Michael Wallace is 22001 Southwest Fwy Ste 300, Richmond, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | David Michael Wallace |
|---|---|
| Address | 22001 Southwest Fwy Ste 300, Richmond, Texas |
| Phone Number | 2816334940 |
| Fax Number | 2816334943 |
| Sole Proprietor | N |
| Credentials | D.O. |
NPI Number Detail
| NPI Number | 1437349479 |
|---|---|
| Provider Enumeration Date | 2007-07-26 |
| Last Updated Date | 2020-02-27 |
Provider Mailing Address Detail
| Address | 22001 Southwest Fwy Ste 300 |
|---|---|
| City | Richmond |
| State | Texas (TX) |
| Post Code | 774697001 |
| Phone Number | 2816334940 |
| Fax Number | 2816334943 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Medicine |
|---|---|
| Taxonomy | 207Qs0010X |
| Licence No | N0539 |
|
Definition: A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 8BL970 | TX | BLUE CROSS BLUE SHIELD TX |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to David Michael Wallace by the Centers for Medicare & Medicaid Services?
The David Michael Wallace has been assigned the NPI (National Provider Identifier) 1437349479 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete street address where David Michael Wallace is physically located?
The David Michael Wallace is physically situated at the following address: 22001 Southwest Fwy Ste 300, Richmond, TX, 774697001.
What is David Michael Wallace's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for David Michael Wallace is Sports Medicine, and the taxonomy code that categorizes this field of expertise is 207Qs0010X.
On what date did the David Michael Wallace receive its 1437349479 assignment from the Centers for Medicare & Medicaid Services?
The David Michael Wallace was assigned its 1437349479 by the Centers for Medicare & Medicaid Services on 2007-07-26.
As of what date were the David Michael Wallace's details last updated?
The information pertaining to the David Michael Wallace, including its address, specialty, and other details, was most recently updated on 2020-02-27.