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
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:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.