Stacy Wallace
NP | Nurse Practitioner - Pediatrics
1702 N Alamo St, Suite 220, San Antonio
Texas, 78215-1201
210-224-1823
Stacy Wallace is a San Antonio, Texas based nurse practitioner who is specialized as Pediatrics nurse. Active license number of Stacy Wallace is 624860 for Pediatrics in Texas. Her current practice location is 1702 N Alamo St, Suite 220, San Antonio. Patients can reach her at 210-224-1823 or can fax her at 210-224-7011. Stacy Wallace is NP with specialization in Pediatrics and her NPI number (Unique professional ID assigned by NPPES) is 1205843422.
Stacy Wallace specializes in caring for newborns, infants, toddlers, adolescents and young adults. She perform pediatric health care maintenance, including well child exams, developmental screenings and in-depth physical assessments, such as vision, hearing and dental. Pediatrics Nurse Practitioner (PNP) focus on well-child care and the prevention or management of common pediatric acute illnesses and chronic conditions.
Complete Profile:
Stacy 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: | Stacy Wallace |
| Specialization: | Pediatrics Nurse Practitioner (PNP) |
| Gender: | Female |
| Credentials: | NP |
| Practice Address: | 1702 N Alamo St, Suite 220, San Antonio,
Texas, 78215-1201 |
| Phone: | 210-224-1823 |
| Fax: | 210-224-7011 |
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.
| NPI Number: | 1205843422 |
| NPI Enumeration Date: | 01 Aug, 2006 |
| NPI Last Update On: | 27 Jan, 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 Stacy Wallace are as mentioned below.
| License Number | Specialization | State | Status | |
| 624860 | Pediatrics | Texas | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Stacy Wallace such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 181428701 | Medicaid | Texas | |
| 67466 | Other | Texas | CIDC |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Stacy Wallace
1702 N Alamo St, Suite 220
San Antonio, Texas |
| Zip: | 78215-1201 |
| Phone Number: | 210-224-1823 |
| Fax Number: | 210-224-7011 |
Patients can reach Stacy Wallace at
1702 N Alamo St, Suite 220, San Antonio, Texas or can
call to book an appointment on 210-224-1823.
Comments/ Reviews:
Patients can read all the reviews posted for Stacy Wallace below. You may also share your own experience like the quality of treatment, behavior, and overall care provided by Stacy Wallace. It will help others make informed decisions.
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.