Thomas M Wallace in Modesto - Critical Care Medicine
Thomas M Wallace - NPI 1679641666
Thomas M Wallace is a Critical Care Medicine in Modesto, California. Thomas M Wallace practices all healthcare services and medical treatments related to Critical Care Medicine. The NPI Number for Thomas M Wallace is 1679641666. The last update date is 2007-07-08.
Thomas M Wallace's current location address is 1441 Florida Ave, Modesto, California. You can contact this provider via phone number 2095763525 and fax number 2095763544. The mailing address for Thomas M Wallace is 1441 Florida Ave, Modesto, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Thomas M Wallace |
|---|---|
| Address | 1441 Florida Ave, Modesto, California |
| Phone Number | 2095763525 |
| Fax Number | 2095763544 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1679641666 |
|---|---|
| Provider Enumeration Date | 2006-11-30 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1441 Florida Ave |
|---|---|
| City | Modesto |
| State | California (CA) |
| Post Code | 953504405 |
| Phone Number | 2095763525 |
| Fax Number | 2095763544 |
Provider's Primary Taxonomy Detail
| Speciality | Critical Care Medicine |
|---|---|
| Taxonomy | 207Rc0200X |
| Licence No | G42269 |
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Definition: An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physicia |
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Post Comment/ Review Below
What is the unique provider identifier assigned to Thomas M Wallace?
The Thomas M Wallace has been issued the NPI (National Provider Identifier) 1679641666 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Thomas M Wallace's facilities are geographically located?
The facilities of Thomas M Wallace are physically situated at the following location: 1441 Florida Ave, Modesto, CA, 953504405.
What is Thomas M Wallace's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Thomas M Wallace is Critical Care Medicine, and the taxonomy code that classifies this field of practice is 207Rc0200X.
When did Thomas M Wallace receive its 1679641666 assignment?
The Thomas M Wallace was assigned its 1679641666 on 2006-11-30, which is the date when this unique identifier was issued to the organization.
When was the information regarding Thomas M Wallace, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Thomas M Wallace, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY