Brian Wallace

N.P. | Nurse Practitioner - Primary Care | 18+ years Exp

1910 Roseland Blvd, Tyler
  Texas, 75701-4246
903-533-0644
Accepts Medicare Nurse Anesthetist in Tyler, Texas.
Brian Wallace is a Tyler, Texas based nurse practitioner with 18 years of experience in Primary Care. He completed his graduation in 2007. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Brian Wallace is RN 169685C for Primary Care in Colorado. His current practice location is 1910 Roseland Blvd, Tyler. Patients can reach him at 903-533-0644. Brian Wallace is N.P. with specialization in Primary Care and his NPI number (Unique professional ID assigned by NPPES) is 1457561615.
Brian Wallace is educated, certified and licensed to provide comprehensive, chronic, continuous care characterized by a long-term relationship with the patient. Primary Care Nurse Practitioners (PCNPs) screen, diagnose, and treat common acute and chronic medical diseases and conditions. They are also involved in health promotion, screening, and educating about primary prevention.
Complete Profile:
Brian Wallace speciality, credentials, practice address, contact phone number and fax are as below. Patients can call on the below given phone number for appointment.
Name: Brian Wallace
Specialization: Primary Care Nurse Practitioner (PCNP)
Gender:Male
Credentials: N.P.
Experience: 18+ years
Medical School Attended:Other
Graduation Year:2007
Accepts Medicare Assignment:Yes
Practice Address:1910 Roseland Blvd, Tyler,
Texas, 75701-4246
Phone:903-533-0644
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
PAC ID: 6103913389
Enrollment ID: I20220714000066
NPI Number: 1457561615
NPI Enumeration Date: 23 May, 2007
NPI Last Update On: 12 Mar, 2010

Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Brian Wallace are as mentioned below.
License NumberSpecializationStateStatus
RN 169685CPrimary Care ColoradoPrimary
Hospital Affiliation:
NPs can be affiliated to many hospitals whom they worked with in the past or are presently working with. One NP can be affiliated to four to five hospitals at a time.
Hospital Name (CCN) State Hospital Type
(060028)Denver, COAcute Care Hospital
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name with which Brian Wallace is associated with along with the number of members in that group.
Organization Name (Group PAC ID) Members
Scl Health Medical Group - Denver Llc (0840513552)345
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: Brian Wallace
1910 Roseland Blvd,
Tyler, Texas
Zip: 75701-4246
Phone Number: 903-533-0644
Fax Number: 903-533-0441
Patients can reach Brian Wallace at 1910 Roseland Blvd, Tyler, Texas or can call to book an appointment on 903-533-0644.
Comments/ Reviews:

Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 January, 2025.