Brian Wallace, N.P.

Individual Active
NPI 1457561615
Primary Care Nurse Practitioner Tyler, TX

NPI 1457561615 belongs to Brian Wallace, N.P., a primary care nurse practitioner with a practice location in Tyler, TX. The NPI was issued on May 23, 2007, and the record was last updated in NPPES on March 12, 2010.

This record hasn't been updated in NPPES since 2010. Details may be out of date.

Taxonomies and licenses

TaxonomyCodeLicense
Primary Care Nurse Practitioner Primary 363LP2300X RN 169685C (CO)

Practice location

1910 Roseland Blvd
Tyler, TX 75701-4246
Phone: (903) 533-0644

Local context

Active NPPES records list 12 providers with primary care nurse practitioner as the primary taxonomy within 25 miles of this practice location's ZIP code, 11 of them within 10 miles.

The same primary taxonomy is listed by 1,029 in Texas and 13,136 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Record history

Name on record
Brian Wallace
Status
Active
NPI issued
Last updated in NPPES

Is this your record? Updates are made through NPPES, the official National Plan and Provider Enumeration System.

NPPES data as of · Source: CMS NPPES

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